Mr Justin Lee Johns, LCSW | |
900 E San Martin St, Bolivar, MO 65613-2893 | |
(417) 501-6138 | |
Not Available |
Full Name | Mr Justin Lee Johns |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 900 E San Martin St, Bolivar, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184343154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2019021590 (Missouri) | Primary |
Entity Name | Citizens Memorial Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin Lee Johns, LCSW 4228 S 140th Rd, Bolivar, MO 65613-8371 Ph: (417) 838-5848 | Mr Justin Lee Johns, LCSW 900 E San Martin St, Bolivar, MO 65613-2893 Ph: (417) 501-6138 |
Regina Russell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 S Main Ave, Bolivar, MO 65613 Phone: 417-326-2902 Fax: 417-326-4555 | |
Angelia D Collins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 315 S Main Ave, Bolivar, MO 65613 Phone: 417-761-5920 Fax: 417-761-5921 | |
Ashley M Batson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-7468 | |
William Everett Hafer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 Phone: 417-326-7272 Fax: 714-326-2193 | |
Tommie L Miller, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 900 E San Martin St, Bolivar, MO 65613 Phone: 417-326-7272 Fax: 471-326-2193 | |
Rachel Grainger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-7676 |