Willie Edward Johnson, MSW, LCSW | |
7550 Constantinople Ave Bldg 2, Las Vegas, NV 89129-6505 | |
(702) 421-5563 | |
Not Available |
Full Name | Willie Edward Johnson |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 35 Years |
Location | 7550 Constantinople Ave Bldg 2, Las Vegas, Nevada |
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 |
---|---|---|---|
1255588216 | NPI | - | NPPES |
9005051634 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5530-C (Nevada) | Primary |
1041C0700X | Social Worker - Clinical | 6801062390 (Michigan) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Progressive Psychiatric Services, Llc | 4789066622 | 6 |
Entity Name | Progressive Psychiatric Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811639685 PECOS PAC ID: 4789066622 Enrollment ID: O20220809001750 |
Mailing Address | Practice Location Address |
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Willie Edward Johnson, MSW, LCSW 9360 Warm Waters Ave, Las Vegas, NV 89129-7865 Ph: (702) 421-3741 | Willie Edward Johnson, MSW, LCSW 7550 Constantinople Ave Bldg 2, Las Vegas, NV 89129-6505 Ph: (702) 421-5563 |
Mrs. Marysol Rezanov, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4170 S Decatur Blvd Ste C1, Las Vegas, NV 89103 Phone: 702-659-8827 Fax: 702-852-0984 | |
Arthur Tabrizi, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6543 Las Vegas Blvd S Unit 200, Las Vegas, NV 89119 Phone: 702-933-9535 | |
Megan Rae Mercado, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9565 Dollardton St, Las Vegas, NV 89139 Phone: 310-634-5506 | |
Mr. David Alexander Sturgeon, CSW-INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7381 Prairie Falcon Rd, Las Vegas, NV 89128 Phone: 702-468-1321 Fax: 702-396-0015 | |
Mrs. Pamela Rinato, LCSW, PSYD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3371 N Buffalo Drive, Las Vegas, NV 89129 Phone: 702-515-1374 Fax: 702-331-3098 | |
Latoyia Kurbane Griffin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 S Rainbow Blvd Unit 82251, Las Vegas, NV 89180 Phone: 702-485-0430 | |
Mr. Gerald R Earl, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3131 La Canada St Ste 216, Las Vegas, NV 89109 Phone: 702-636-3000 |