| Doctor Name: | CAMELLIA A JOHNSON |
| NPI Number: | 1023459716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW,MSW,BA |
| License Number: | 9336 |
| Business Practice Address: | 30 Peck Rd Torrington Clinical Services Bldg 2 Suite 2203 Torrington, CT - 067906123 |
| Business Phone Number: | 8606267007 |
| Business Fax Number: | 8606267014 |
| Mailing Address: | 141 E Main St, 4th Floor Administration WATERBURY |
| State: | CT |
| Postal Code: | 067022310 |
| Phone Number: | 2035749000 |
| Fax Number: | 2035749006 |
| NPI Enumeration Date: | 07/10/2013 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 9336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |