Scott Kenneth Johnson, MSW, LICSW, LCSW | |
502 Main St W Ste 303, Ashland, WI 54806-1579 | |
(715) 575-4322 | |
Not Available |
Full Name | Scott Kenneth Johnson |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 502 Main St W Ste 303, Ashland, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255698205 | NPI | - | NPPES |
1255698205 | Medicaid | MN | |
1255698205 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 21082 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 8473 (Wisconsin) | Primary |
Entity Name | Johnson Psychotherapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689455735 PECOS PAC ID: 7911344098 Enrollment ID: O20240325003015 |
Mailing Address | Practice Location Address |
---|---|
Scott Kenneth Johnson, MSW, LICSW, LCSW Po Box 631, Ashland, WI 54806-0631 Ph: (715) 575-4322 | Scott Kenneth Johnson, MSW, LICSW, LCSW 502 Main St W Ste 303, Ashland, WI 54806-1579 Ph: (715) 575-4322 |
Ms. Sara Ostrowski Marsh, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Maple Ln, Ashland, WI 54806 Phone: 715-685-5400 Fax: 715-685-5102 | |
Alexis Bowe, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Main St W, Ashland, WI 54806 Phone: 715-685-2200 Fax: 715-685-1185 | |
Jessica Ann Joanis, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Maple Ln, Ashland, WI 54806 Phone: 715-685-5400 Fax: 715-685-5102 | |
Johnna L Klein, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 Beaser Ave, Ashland, WI 54806 Phone: 715-468-2841 Fax: 715-468-2374 | |
Michaela Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Main St W, Ashland, WI 54806 Phone: 715-685-2200 | |
Mrs. Heidi Louise Waligora, MSW ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Ellis Ave Ste 1, Ashland, WI 54806 Phone: 715-682-3523 Fax: 715-682-3526 |