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NPI Code Detail

MEDICARE: REBEKAH JOHNSON

MEDICARE: REBEKAH JOHNSON
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
11041C0700XClinical Social Worker34012768AIN

General Provider Information

NPI Number : 1164365854
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH JOHNSON
Provider Business Mailing Address
First Line : 2060 E COUNTY ROAD 1175 N
Second Line :
City : FARMERSBURG
State : IN
Zip : 47850-8066
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3171 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4784
Country : US
Telephone Number : 317-671-2397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ REBEKAH JOHNSON ” Practice Location

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