David R Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Leonard Wood, Missouri. His current practice location is
4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 596-0522.
David R Johnson is licensed to practice in Illinois (license number 149.014797) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407117799.
Healthcare Provider's Profile
Full Name | David R Johnson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407117799
- Provider Enumeration Date: 06/03/2012
- Last Update Date: 07/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426448176
- Enrollment ID: I20211213000130
Medical Identifiers
Medical identifiers for David R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407117799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 180.008090 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.014797 (Illinois) | 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. David R Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
David R Johnson, LCSW 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0522 | David R Johnson, LCSW 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0522 |
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