Kimberly Maria Johnson, LCSW, CSAC is a
Social Worker - Clinical based in La Crosse, Wisconsin. Kimberly Maria Johnson is licensed to practice in Wisconsin (license number 9555) and her current practice location is
700 West Ave S, La Crosse, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 785-0940.
NPI number for Kimberly Maria Johnson is 1063938595 and her current mailing address is 200 1st St Sw, Rochester, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063938595.
Healthcare Provider's Profile
Full Name | Kimberly Maria Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 700 West Ave S, La Crosse, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063938595
- Provider Enumeration Date: 08/16/2017
- Last Update Date: 11/04/2024
Medical Identifiers
Medical identifiers for Kimberly Maria Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063938595 | NPI | - | NPPES |
1003150004 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 18207-130 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 9555 (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. Kimberly Maria 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 |
Kimberly Maria Johnson, LCSW, CSAC 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Kimberly Maria Johnson, LCSW, CSAC 700 West Ave S, La Crosse, WI 54601-8806 Ph: (608) 785-0940 |
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