| Scott Kenneth Johnson, MSW, LICSW, LCSW | |
|
101 Main St W Ste 205, Ashland, WI 54806-1668 | |
| (715) 575-4322 | |
| Not Available |
| Full Name | Scott Kenneth Johnson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 101 Main St W Ste 205, 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 | WI | |
| 1255698205 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21082 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8473 (Wisconsin) | Primary |
| Entity Name | Johnson Psychotherapy, Llc |
|---|---|
| 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 101 Main St W Ste 205, Ashland, WI 54806-1668 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: Medicare Enrolled 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 | |
Howard V Patterson, MA, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1613 W Third Street, Ashland, WI 54806 Phone: 715-682-2141 Fax: 715-634-1722 |