Carolyn M Martin-johnson, LPC is a
Social Worker based in Green Bay, Wisconsin. Carolyn M Martin-johnson is licensed to practice in Wisconsin (license number 4155-125) and her current practice location is
1499 Sixth St, Innovative Counseling, Inc, Green Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 497-6161.
NPI number for Carolyn M Martin-johnson is 1396894259 and her current mailing address is 1499 Sixth St, Innovative Counseling, Inc, Green Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396894259.
Healthcare Provider's Profile
| Full Name | Carolyn M Martin-johnson |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1499 Sixth St, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396894259
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 03/08/2012
Medical Identifiers
Medical identifiers for Carolyn M Martin-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396894259 | NPI | - | NPPES |
| 40965400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14160 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 4155-125 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn M Martin-johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carolyn M Martin-johnson, LPC
1499 Sixth St, Innovative Counseling, Inc,
Green Bay, WI 54304-2252
Ph: (920) 497-6161 | Carolyn M Martin-johnson, LPC
1499 Sixth St, Innovative Counseling, Inc,
Green Bay, WI 54304-2252
Ph: (920) 497-6161 |
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