Doctor Name: | RENEL SCOTT JOHNSON |
NPI Number: | 1427262815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 3338 |
Business Practice Address: | 4577 W Pecos Rd Laveen, AZ - 853399002 |
Business Phone Number: | 5205506008 |
Business Fax Number: | 5205506033 |
Mailing Address: | 4577 W Pecos Rd, LAVEEN |
State: | AZ |
Postal Code: | 853399002 |
Phone Number: | 5205506008 |
Fax Number: | 5205506033 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 03/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3338 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |