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NPI Code Detail

MEDICARE: ALICIA M JOHNSON MSW, LCSW

MEDICARE:   ALICIA M JOHNSON  MSW, 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
11041C0700XClinical Social Worker2022024817MO

General Provider Information

NPI Number : 1669039426
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA M JOHNSON MSW, LCSW
Provider Business Mailing Address
First Line : 1601 OLD SOUTH RIVER RD
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-4120
Country : US
Telephone Number : 636-224-1210
Fax Number : 636-246-1008
Provider Business Practice Location Address
First Line : 1601 OLD SOUTH RIVER RD
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-4120
Country : US
Telephone Number : 636-224-1000
Fax Number : 636-946-0971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2019
Last Update Date : 04/06/2026

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Directions to “ ALICIA M JOHNSON MSW, LCSW” Practice Location

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