Active NPIIndividual providerSole proprietor

Ms. Rosa A Johnson, LICSW

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1235382649
Practice location
940 Belmont St Bldg 3, Brockton, MA 02301-5596
Fax
617-232-0078
Last updated
May 5, 2023

Rosa Arelis Johnson is a Social Worker, Clinical based in Brockton, MA. Rosa Arelis Johnson practices in Brockton, MA and has the professional credentials of LICSW. The NPI Number for Rosa Arelis Johnson is 1235382649 and holds a License No. 117609 (MA). The current practice location address for Rosa Arelis Johnson is 940 Belmont St Bldg 3, Brockton, MA 02301-5596 and can be reached out via phone at 774-259-8610 and via fax at 617-232-0078.

Provider Profile Details

NPI Number
1235382649
Provider Name
Rosa Arelis Johnson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
940 Belmont St Bldg 3, Brockton, MA 02301-5596
Phone Number
774-259-8610
Fax Number
617-232-0078
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Rosa A. Dominguez, LCSW (Former Name)
Provider Enumeration Date
October 29, 2008
Last Update Date
May 5, 2023
Certification Date
May 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
940 Belmont St Bldg 3
Brockton, MA 02301-5596
Zip
02301-5596
Phone Number
774-259-8610
Fax Number
617-232-0078
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
44 Lantern Ln
Sharon, MA 02067-1127
City
Sharon
State
MA
Zip
02067-1127
Phone Number
774-259-8610

License Information

License Number (1)
117609
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
2030420
License State (2)
MA
Taxonomy (2)
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 Ms. Rosa A Johnson, LICSW?

The NPI number of Ms. Rosa A Johnson, LICSW is 1235382649. It was assigned on October 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Rosa A Johnson, LICSW?

Ms. Rosa A Johnson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 117609.

Where does Ms. Rosa A Johnson, LICSW practice?

The practice location is 940 Belmont St Bldg 3, Brockton, MA 02301-5596. The office can be reached at 774-259-8610 (phone) or 617-232-0078 (fax).

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 1235382649 directly on the NPPES registry website.

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