Teresa Marie Johnson, LCSW | |
408 North St, Logansport, IN 46947-2895 | |
(574) 753-5540 | |
(574) 753-8197 |
Full Name | Teresa Marie Johnson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 408 North St, Logansport, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356777627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34006756A (Indiana) | Primary |
Entity Name | Friends Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093472664 PECOS PAC ID: 9133504723 Enrollment ID: O20220919000672 |
Mailing Address | Practice Location Address |
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Teresa Marie Johnson, LCSW 800 Fulton St, Logansport, IN 46947-1577 Ph: (574) 722-5151 | Teresa Marie Johnson, LCSW 408 North St, Logansport, IN 46947-2895 Ph: (574) 753-5540 |
Michael Dean Bontrager, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1807 Smith St, Logansport, IN 46947 Phone: 574-732-1414 Fax: 574-732-0504 | |
Jessica Crume, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Kasey Elizabeth Huff, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Mrs. Jerrilyn S Herd, LMFT,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Michigan Ave., Suite 115, Logansport, IN 46947 Phone: 574-722-3566 Fax: 574-753-6118 | |
Kathy Lynn Murray, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1807 Smith St, Logansport, IN 46947 Phone: 574-732-1414 Fax: 574-732-0504 | |
Mrs. Jacqueline S. Graybeal, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1807 Smith St, Logansport, IN 46947 Phone: 574-732-1414 Fax: 574-732-0504 |