Active NPIIndividual provider

Mario J Johnson

Community Health Worker in Worcester, Massachusetts

NPI Number1487178828
Practice location
340 Main St # 818, Worcester, MA 01608-1604
Fax
—
Last updated
October 2, 2020

Mario Joseph Johnson is a Community Health Worker based in Worcester, MA. Mario Joseph Johnson practices in Worcester, MA. The NPI Number for Mario Joseph Johnson is 1487178828. The current practice location address for Mario Joseph Johnson is 340 Main St # 818, Worcester, MA 01608-1604 and can be reached out via phone at 508-791-4976.

Provider Profile Details

NPI Number
1487178828
Provider Name
Mario Joseph Johnson
Provider Entity Type
Individual
Gender
Male
Address
340 Main St # 818, Worcester, MA 01608-1604
Phone Number
508-791-4976
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2017
Last Update Date
October 2, 2020
Certification Date
October 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
340 Main St # 818
Worcester, MA 01608-1604
Zip
01608-1604
Phone Number
508-791-4976
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
324 Clark St
Worcester, MA 01606-1214
City
Worcester
State
MA
Zip
01606-1214

License Information

Taxonomy (1)
Community Health Worker · 172V00000X · Primary
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

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 Mario J Johnson?

The NPI number of Mario J Johnson is 1487178828. It was assigned on July 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Mario J Johnson?

Mario J Johnson is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Mario J Johnson practice?

The practice location is 340 Main St # 818, Worcester, MA 01608-1604. The office can be reached at 508-791-4976 (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 1487178828 directly on the NPPES registry website.

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