Active NPIIndividual provider

Stephanie L Johnson, LICSW

Social Worker, Clinical in East Boston, Massachusetts

NPI Number1871670190
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
617-568-4780
Last updated
July 8, 2007

Stephanie L Johnson is a Social Worker, Clinical based in East Boston, MA. Stephanie L Johnson practices in East Boston, MA and has the professional credentials of LICSW. The NPI Number for Stephanie L Johnson is 1871670190 and holds a License No. 1029312 (MA). The current practice location address for Stephanie L Johnson is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4780.

Provider Profile Details

NPI Number
1871670190
Provider Name
Stephanie L Johnson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4780

License Information

License Number
1029312
License State
MA
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 Stephanie L Johnson, LICSW?

The NPI number of Stephanie L Johnson, LICSW is 1871670190. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Stephanie L Johnson, LICSW?

Stephanie L Johnson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1029312.

Where does Stephanie L Johnson, LICSW practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (phone) or 617-568-4780 (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 1871670190 directly on the NPPES registry website.

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