| Pamela H. Johnson, Lcsw, Pc | |
|
5211 Hwy 153 Suite C Hixson TN 37343-4950 | |
| (423) 870-0085 | |
| (423) 870-3411 |
| Full Name | Pamela H. Johnson, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 5211 Hwy 153, Hixson, Tennessee |
| Authorized Official Name and Position | Pamela Heath Johnson (LCSW) |
| Authorized Official Contact | 4238700085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela H. Johnson, Lcsw, Pc 5211 Hwy 153 Suite C Hixson TN 37343-4950 Ph: (423) 870-0085 | Pamela H. Johnson, Lcsw, Pc 5211 Hwy 153 Suite C Hixson TN 37343-4950 Ph: (423) 870-0085 |
| NPI Number | 1649548876 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/02/2011 |
| Medicare PECOS PAC ID | 7719153170 |
|---|---|
| Medicare Enrollment ID | O20120105000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649548876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | IP000054 (Tennessee) | Primary |
| Provider Name | Pamela H Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104905686 PECOS PAC ID: 5890961254 Enrollment ID: I20120105001004 |
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