Nicholette Dawn Johnson, is a
Social Worker based in San Dimas, California. Nicholette Dawn Johnson is licensed to practice in California (license number 89288) and her current practice location is
670 W Baseline Rd, San Dimas, California. She can be reached at her office (for appointments etc.) via phone at
(909) 741-7124.
NPI number for Nicholette Dawn Johnson is 1053960245 and her current mailing address is 545 E Payson St, San Dimas, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053960245.
Healthcare Provider's Profile
Full Name | Nicholette Dawn Johnson |
---|
Gender | Female |
---|
Speciality | Social Worker |
---|
Location | 670 W Baseline Rd, San Dimas, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053960245
- Provider Enumeration Date: 09/10/2019
- Last Update Date: 05/30/2023
Medical Identifiers
Medical identifiers for Nicholette Dawn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053960245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 89288 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 89288 (California) | Secondary |
104100000X | Social Worker | 89288 (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. Nicholette Dawn 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 |
Nicholette Dawn Johnson, 545 E Payson St, San Dimas, CA 91773-2227 Ph: (909) 993-3287 | Nicholette Dawn Johnson, 670 W Baseline Rd, San Dimas, CA 91773-1492 Ph: (909) 741-7124 |
Reviews and Comments