Doctor Name: | MISS PATRICIA R JOHNSON |
NPI Number: | 1215293113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | LC50077888 |
Business Practice Address: | 6901 Wildrose Ct District Heights, MD - 207475148 |
Business Phone Number: | 2024893919 |
Business Fax Number: | |
Mailing Address: | 6901 Wildrose Ct, DISTRICT HEIGHTS |
State: | MD |
Postal Code: | 207475148 |
Phone Number: | 2024893919 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC50077888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |