Mr Michael Johnson, LCSW | |
5230 S Western Ave, Marion, IN 46953-5778 | |
(765) 674-2208 | |
(765) 674-3273 |
Full Name | Mr Michael Johnson |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 36 Years |
Location | 5230 S Western Ave, Marion, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225168651 | NPI | - | NPPES |
2036859 | Other | IN | CIGNA BEHAVIORAL HEALTH |
7887032 | Other | IN | AETNA |
459411000 | Other | IN | MAGELLAN |
000000175676 | Other | IN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34001611A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeview Wesleyan Church | 5799752242 | 5 |
Entity Name | Lakeview Wesleyan Church |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568568947 PECOS PAC ID: 5799752242 Enrollment ID: O20040914000489 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Johnson, LCSW 5230 S Western Ave, Marion, IN 46953-5778 Ph: (765) 674-2208 | Mr Michael Johnson, LCSW 5230 S Western Ave, Marion, IN 46953-5778 Ph: (765) 674-2208 |
Mr. Stephen Edgar Sheets, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Attn: Social Work, Marion, IN 46953 Phone: 800-498-8792 | |
Jeanette R Hoeksema, PSYD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1391 N Baldwin Ave Ste 200, Marion, IN 46952 Phone: 765-660-7900 Fax: 765-671-7751 | |
Jennifer K Queen-russell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-662-6726 | |
Sheri Proffitt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-668-6718 | |
Benjamin C Keplar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 Fax: 765-677-5117 | |
Sarah Albert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-668-6726 | |
Mr. Robert M. Taylor, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 Fax: 765-677-5151 |