Mr David Allen Johnson, MSW, LSW, LCAC is a
Social Worker based in Portage, Indiana. Mr David Allen Johnson is licensed to practice in Indiana (license number 33007055A) and his current practice location is
3176 Lancer St, Portage, Indiana. He can be reached at his office (for appointments etc.) via phone at
(219) 763-8847.
NPI number for Mr David Allen Johnson is 1811223407 and his current mailing address is 3176 Lancer St, Portage, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811223407.
Healthcare Provider's Profile
Full Name | Mr David Allen Johnson |
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Gender | Male |
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Speciality | Social Worker |
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Location | 3176 Lancer St, Portage, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811223407
- Provider Enumeration Date: 11/02/2009
- Last Update Date: 09/04/2014
Medical Identifiers
Medical identifiers for Mr David Allen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811223407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000461A (Indiana) | Secondary |
104100000X | Social Worker | 33007055A (Indiana) | 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. Mr David Allen 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 |
Mr David Allen Johnson, MSW, LSW, LCAC 3176 Lancer St, Portage, IN 46368-4408 Ph: (219) 763-8847 | Mr David Allen Johnson, MSW, LSW, LCAC 3176 Lancer St, Portage, IN 46368-4408 Ph: (219) 763-8847 |
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