Derek Alan Johnson, is a
Social Worker - Clinical based in Brownstown Twp, Michigan. Derek Alan Johnson is licensed to practice in Michigan (license number 6801098019) and his current practice location is
23772 West Rd # 195, Brownstown Twp, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 512-9367.
NPI number for Derek Alan Johnson is 1770986556 and his current mailing address is 23772 West Rd # 195, Brownstown Twp, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770986556.
Healthcare Provider's Profile
Full Name | Derek Alan Johnson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 23772 West Rd # 195, Brownstown Twp, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770986556
- Provider Enumeration Date: 10/07/2014
- Last Update Date: 06/27/2015
Medical Identifiers
Medical identifiers for Derek Alan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770986556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801098019 (Michigan) | 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. Derek Alan 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 |
Derek Alan Johnson, 23772 West Rd # 195, Brownstown Twp, MI 48183-3050 Ph: (734) 512-9367 | Derek Alan Johnson, 23772 West Rd # 195, Brownstown Twp, MI 48183-3050 Ph: (734) 512-9367 |
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