MEDICARE: JESSICA F JOHNSON 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
1	1041C0700X	Clinical Social Worker	095658	IA

General Provider Information

NPI Number	:	1295676880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA F JOHNSON LISW

Provider Business Mailing Address
First Line	:	620 SPRING ST
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-4926
Country	:	US
Telephone Number	:	319-759-2305
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 SPRING ST
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-4926
Country	:	US
Telephone Number	:	319-759-2305
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ JESSICA F JOHNSON LISW” Practice Location

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