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NPI Code Detail

MEDICARE: WENDY ANGELINA JOHNSTON LCSW-C

MEDICARE: WENDY ANGELINA JOHNSTON LCSW-C
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 Worker15890MD
21041C0700XClinical Social Worker097155NY

General Provider Information

NPI Number : 1689995680
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY ANGELINA JOHNSTON LCSW-C
Provider Business Mailing Address
First Line : 442 5TH AVE # 1983
Second Line :
City : NEW YORK
State : NY
Zip : 10018-2794
Country : US
Telephone Number : 253-648-0340
Fax Number : 206-673-8050
Provider Business Practice Location Address
First Line : 4445 WILLARD AVE STE 600
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-3786
Country : US
Telephone Number : 212-564-0480
Fax Number : 833-450-0817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2010
Last Update Date : 03/13/2024

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Directions to “ WENDY ANGELINA JOHNSTON LCSW-C” Practice Location

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