| Drew M. Johnson Lcsw Llc | |
|
2130 Millburn Ave Ste D1 Maplewood NJ 07040-3749 | |
| (973) 763-8123 | |
| (973) 763-8243 |
| Full Name | Drew M. Johnson Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2130 Millburn Ave Ste D1, Maplewood, New Jersey |
| Authorized Official Name and Position | Drew Mcneill Johnson (THERAPIST) |
| Authorized Official Contact | 9175687524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drew M. Johnson Lcsw Llc 94 Midland Blvd Maplewood NJ 07040-1810 Ph: (917) 568-7524 | Drew M. Johnson Lcsw Llc 2130 Millburn Ave Ste D1 Maplewood NJ 07040-3749 Ph: (973) 763-8123 |
| NPI Number | 1184866824 |
|---|---|
| Provider Enumeration Date | 03/26/2009 |
| Last Update Date | 04/20/2009 |
| Medicare PECOS PAC ID | 9638226780 |
|---|---|
| Medicare Enrollment ID | O20090408000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184866824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05288400 (New Jersey) | Primary |
| Provider Name | Drew M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447430798 PECOS PAC ID: 2163509316 Enrollment ID: I20080411000418 |
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