Clarence Willie Johnson, MSW, ASW is a
Counselor - Mental Health based in Fontana, California. Clarence Willie Johnson is licensed to practice in * (Not Available) (license number 98357) and his current practice location is
15217 San Bernardino Ave, Fontana, California. He can be reached at his office (for appointments etc.) via phone at
(951) 643-2150.
NPI number for Clarence Willie Johnson is 1689243826 and his current mailing address is 3625 14th St, Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689243826.
Healthcare Provider's Profile
Full Name | Clarence Willie Johnson |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 15217 San Bernardino Ave, Fontana, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689243826
- Provider Enumeration Date: 06/22/2021
- Last Update Date: 06/12/2023
Medical Identifiers
Medical identifiers for Clarence Willie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689243826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 98357 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 98357 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarence Willie Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Clarence Willie Johnson, MSW, ASW 3625 14th St, Riverside, CA 92501-3815 Ph: (951) 358-4700 | Clarence Willie Johnson, MSW, ASW 15217 San Bernardino Ave, Fontana, CA 92335-5327 Ph: (951) 643-2150 |
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