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NPI Code Detail

MEDICARE: CYNTHIA M JOHNSON MSW, LCSW

MEDICARE: CYNTHIA 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 Worker205363MA

General Provider Information

NPI Number : 1700921731
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA M JOHNSON MSW, LCSW
Provider Business Mailing Address
First Line : 1 ARCH PL
Second Line :
City : GREENFIELD
State : MA
Zip : 01301-2457
Country : US
Telephone Number : 413-774-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1 ARCH PL
Second Line :
City : GREENFIELD
State : MA
Zip : 01301-2457
Country : US
Telephone Number : 413-774-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 04/05/2018

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