Active NPIIndividual provider

Roberta Johnson, LCSW

Social Worker, Clinical in Ellsworth, Maine

NPI Number1104007236
Practice location
204 Water St, Ellsworth, ME 04605-2038
Fax
—
Last updated
November 16, 2007

Roberta Johnson is a Social Worker, Clinical based in Ellsworth, ME. Roberta Johnson practices in Ellsworth, ME and has the professional credentials of LCSW. The NPI Number for Roberta Johnson is 1104007236 and holds a License No. LC11261 (ME). The current practice location address for Roberta Johnson is 204 Water St, Ellsworth, ME 04605-2038 and can be reached out via phone at 207-667-2061.

Provider Profile Details

NPI Number
1104007236
Provider Name
Roberta Johnson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
204 Water St, Ellsworth, ME 04605-2038
Phone Number
207-667-2061
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2007
Last Update Date
November 16, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 Water St
Ellsworth, ME 04605-2038
State
Maine
Zip
04605-2038
Phone Number
207-667-2061
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
28 Neils Cove Ln
Stonington, ME 04681-3034
City
Stonington
State
ME
Zip
04681-3034
Phone Number
207-367-2991

License Information

License Number
LC11261
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Roberta Johnson, LCSW?

The NPI number of Roberta Johnson, LCSW is 1104007236. It was assigned on November 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Roberta Johnson, LCSW?

Roberta Johnson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC11261.

Where does Roberta Johnson, LCSW practice?

The practice location is 204 Water St, Ellsworth, ME 04605-2038. The office can be reached at 207-667-2061 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104007236 directly on the NPPES registry website.

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