Brandon Cher'awn Johnson, LCSW | |
3151 Litton Rd, Chillicothe, MO 64601-8502 | |
(314) 828-0332 | |
Not Available |
Full Name | Brandon Cher'awn Johnson |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3151 Litton Rd, Chillicothe, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417509324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2017033882 (Missouri) | Primary |
Entity Name | Midamericare Limited Liability Company |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922322676 PECOS PAC ID: 4284768516 Enrollment ID: O20100823000111 |
Mailing Address | Practice Location Address |
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Brandon Cher'awn Johnson, LCSW 1300 S 11th St Apt 501, Saint Joseph, MO 64503-3143 Ph: (314) 828-0332 | Brandon Cher'awn Johnson, LCSW 3151 Litton Rd, Chillicothe, MO 64601-8502 Ph: (314) 828-0332 |
Alison Janell Cornell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1419 Burnam Rd, Chillicothe, MO 64601 Phone: 816-646-4459 | |
Ms. Sharon Elizabeth Wilburn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3151 Litton Rd, Kccc At Chillicothe Correctional Center, Chillicothe, MO 64601 Phone: 660-646-4032 | |
Mrs. Susan Margaret Beck Case, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2971 N Washington St, Chillicothe, MO 64601 Phone: 660-247-0718 |