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NPI Code Detail

MEDICARE: CYNTHIA ANN JOHNSON MSSA, LSW, LISW

MEDICARE:   CYNTHIA ANN JOHNSON  MSSA, LSW, LISW
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
1104100000XSocial WorkerS.1000067OH
21041S0200XSchool Social WorkerOH3317861OH
31041C0700XClinical Social WorkerI.2506989OH

General Provider Information

NPI Number : 1174176994
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA ANN JOHNSON MSSA, LSW, LISW
Provider Business Mailing Address
First Line : 5699 ALLENDALE DR
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-4655
Country : US
Telephone Number : 216-952-5682
Fax Number :
Provider Business Practice Location Address
First Line : 22001 FAIRMOUNT BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44118-4897
Country : US
Telephone Number : 216-932-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2019
Last Update Date : 07/31/2025

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Directions to “ CYNTHIA ANN JOHNSON MSSA, LSW, LISW” Practice Location

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