MEDICARE: MS. MARGARETT ANN JOHNSON 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	10454	TX

General Provider Information

NPI Number	:	1376781633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARETT ANN JOHNSON LCSW

Provider Business Mailing Address
First Line	:	800 N PLANTATION DR
Second Line	:
City	:	ANGLETON
State	:	TX
Zip	:	77515-3328
Country	:	US
Telephone Number	:	979-864-6791
Fax Number	:

Provider Business Practice Location Address
First Line	:	7707 FANNIN ST STE 205
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1968
Country	:	US
Telephone Number	:	713-790-1302
Fax Number	:

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

Provider Enumeration Date	:	01/25/2009
Last Update Date	:	01/25/2009

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