Mr Mark A Johnson Sr, LCSW, LCDC is a
Social Worker - Clinical based in North Las Vegas, Nevada. Mr Mark A Johnson Sr is licensed to practice in California (license number 97416) and his current practice location is
6900 N Pecos Rd, North Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 791-9000.
NPI number for Mr Mark A Johnson Sr is 1811238587 and his current mailing address is Po Box 336685, North Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811238587.
Healthcare Provider's Profile
| Full Name | Mr Mark A Johnson Sr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 6900 N Pecos Rd, North Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811238587
- Provider Enumeration Date: 03/06/2013
- Last Update Date: 12/15/2023
Medical Identifiers
Medical identifiers for Mr Mark A Johnson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811238587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14357 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 60924 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0134242 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | 97416 (California) | 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 Mark A Johnson Sr 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 Mark A Johnson Sr, LCSW, LCDC
Po Box 336685,
North Las Vegas, NV 89033-6685
Ph: (702) 524-0626 | Mr Mark A Johnson Sr, LCSW, LCDC
6900 N Pecos Rd,
North Las Vegas, NV 89086-4400
Ph: (702) 791-9000 |
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