Jay Johnson, LICSW is a
Social Worker - Clinical based in Sentinel Butte, North Dakota. Jay Johnson is licensed to practice in North Dakota (license number 4012) and his current practice location is
16351 I94, Home On The Range, Sentinel Butte, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 872-3745.
NPI number for Jay Johnson is 1134249220 and his current mailing address is 16351 I94, Home On The Range, Sentinel Butte, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134249220.
Healthcare Provider's Profile
| Full Name | Jay Johnson |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 16351 I94, Sentinel Butte, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134249220
- Provider Enumeration Date: 03/30/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jay Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134249220 | NPI | - | NPPES |
| 19170 | Medicaid | ND | |
| 27570 | Other | ND | BS OF ND |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 4012 (North Dakota) | 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. Jay 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 |
|---|
Jay Johnson, LICSW
16351 I94, Home On The Range,
Sentinel Butte, ND 58654-9500
Ph: (701) 872-3745 | Jay Johnson, LICSW
16351 I94, Home On The Range,
Sentinel Butte, ND 58654-9500
Ph: (701) 872-3745 |
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