| Doctor Name: | LYNNE MARIE JOHNSON |
| NPI Number: | 1093956484 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 110467 |
| Business Practice Address: | 25r Market St Ipswich, MA - 019382212 |
| Business Phone Number: | 9783561776 |
| Business Fax Number: | 9783562822 |
| Mailing Address: | 25r Market St, IPSWICH |
| State: | MA |
| Postal Code: | 019382212 |
| Phone Number: | 9783561776 |
| Fax Number: | 9783562822 |
| NPI Enumeration Date: | 03/13/2009 |
| NPI Last Update Date: | 03/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 110467 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |