Dr Jeffrey Lynn Johnston, PHD, LCSW, LPC is a
Social Worker - Clinical based in Cape Girardeau, Missouri. Dr Jeffrey Lynn Johnston is licensed to practice in Missouri (license number 002119) and his current practice location is
1221 N Kingshighway St, Imperial Building, Cape Girardeau, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 335-7929.
NPI number for Dr Jeffrey Lynn Johnston is 1972673556 and his current mailing address is Po Box 645, Cape Girardeau, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972673556.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Lynn Johnston |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1221 N Kingshighway St, Cape Girardeau, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972673556
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jeffrey Lynn Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972673556 | NPI | - | NPPES |
| 2030308 | Other | | CIGNA |
| 111071 | Other | | VALUE OPTIONS |
| 19655 | Other | | BLUE CROSS BLUE SHIELD |
| 10852003 | Other | | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 001582 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | 002119 (Missouri) | 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. Dr Jeffrey Lynn Johnston 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 |
|---|
Dr Jeffrey Lynn Johnston, PHD, LCSW, LPC
Po Box 645,
Cape Girardeau, MO 63702-0645
Ph: (573) 335-7929 | Dr Jeffrey Lynn Johnston, PHD, LCSW, LPC
1221 N Kingshighway St, Imperial Building,
Cape Girardeau, MO 63701-3506
Ph: (573) 335-7929 |
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