Courtney J Johnson, LMSW, CAADC is a
Social Worker based in Grand Rapids, Michigan. Courtney J Johnson is licensed to practice in Michigan (license number 6801094413) and her current practice location is
6701 Old 28th St Se, Ste A, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 426-2168.
NPI number for Courtney J Johnson is 1124373352 and her current mailing address is 1619 Gilcrest Ave, East Lansing, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124373352.
Healthcare Provider's Profile
Full Name | Courtney J Johnson |
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Gender | Female |
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Speciality | Social Worker |
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Location | 6701 Old 28th St Se, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124373352
- Provider Enumeration Date: 07/13/2012
- Last Update Date: 04/28/2021
Medical Identifiers
Medical identifiers for Courtney J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124373352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-03164 (Michigan) | Secondary |
104100000X | Social Worker | 6801094413 (Michigan) | 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. Courtney J 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 |
Courtney J Johnson, LMSW, CAADC 1619 Gilcrest Ave, East Lansing, MI 48823-1843 Ph: (906) 236-0569 | Courtney J Johnson, LMSW, CAADC 6701 Old 28th St Se, Ste A, Grand Rapids, MI 49546-6937 Ph: (616) 426-2168 |
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