MEDICARE: CYNTHIA JOHNSON MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1093902074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA JOHNSON MSW, LCSW

Provider Business Mailing Address
First Line	:	48 N TUCSON BLVD STE 100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-4756
Country	:	US
Telephone Number	:	608-556-7244
Fax Number	:

Provider Business Practice Location Address
First Line	:	4560 E BROADWAY BLVD STE 212
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-3558
Country	:	US
Telephone Number	:	608-556-7244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	10/10/2022

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