MEDICARE: SHEREKA FREEMAN JOHNSON MSW

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	104100000X	Social Worker		LA

General Provider Information

NPI Number	:	1124958780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEREKA FREEMAN JOHNSON MSW

Provider Business Mailing Address
First Line	:	6968 ASH ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71129-9478
Country	:	US
Telephone Number	:	318-564-3285
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 CENTENARY BLVD BLDG 3
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71104-3356
Country	:	US
Telephone Number	:	318-681-9935
Fax Number	:	318-681-9938

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

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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