Mrs Letriece Shanet Johnson, ACSW is a
Social Worker - Clinical based in Lake Jackson, Texas. Mrs Letriece Shanet Johnson is licensed to practice in California (license number 111826) and her current practice location is
112 Frostwood Dr, Lake Jackson, Texas. She can be reached at her office (for appointments etc.) via phone at
(619) 925-5442.
NPI number for Mrs Letriece Shanet Johnson is 1245897057 and her current mailing address is 112 Frostwood Dr, Lake Jackson, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245897057.
Healthcare Provider's Profile
Full Name | Mrs Letriece Shanet Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 112 Frostwood Dr, Lake Jackson, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245897057
- Provider Enumeration Date: 05/28/2019
- Last Update Date: 10/01/2024
Medical Identifiers
Medical identifiers for Mrs Letriece Shanet Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245897057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 111826 (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. Mrs Letriece Shanet 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 |
Mrs Letriece Shanet Johnson, ACSW 112 Frostwood Dr, Lake Jackson, TX 77566-4436 Ph: (619) 925-5442 | Mrs Letriece Shanet Johnson, ACSW 112 Frostwood Dr, Lake Jackson, TX 77566-4436 Ph: (619) 925-5442 |
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