Doctor Name: | STEWART JOHNSON |
NPI Number: | 1316959174 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | CW014079 |
Business Practice Address: | 4150 Washington Rd Suite 105 Mcmurray, PA - 153172534 |
Business Phone Number: | 7249411120 |
Business Fax Number: | 7249410993 |
Mailing Address: | 4150 Washington Rd, Suite 105 MCMURRAY |
State: | PA |
Postal Code: | 153172534 |
Phone Number: | 7249411120 |
Fax Number: | 7249410993 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |