MEDICARE: REBECCA L JOHNSTON 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	LCSW-34117	ID

General Provider Information

NPI Number	:	1871069070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA L JOHNSTON LCSW

Provider Business Mailing Address
First Line	:	533 E TRACKSTAND LN
Second Line	:
City	:	GARDEN CITY
State	:	ID
Zip	:	83714-1614
Country	:	US
Telephone Number	:	208-860-5696
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 E TRACKSTAND LN
Second Line	:
City	:	GARDEN CITY
State	:	ID
Zip	:	83714-1614
Country	:	US
Telephone Number	:	208-860-5696
Fax Number	:

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

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	11/22/2021

Similar Medicare Providers

1639346018 — MS. PATRICIA ANN BRADSHAW LCMHC
Practice Location Address:

1614 ORANGE CHAPEL CLOVER GARDEN RD
CHAPEL HILL, NC
27516-7493

Practice Phone: 919-923-6671
Practice Fax:

1801674155 — ULTUM CARE PHARMACY, LLC.
Practice Location Address:

9701 GARDEN GROVE BLVD
GARDEN GROVE, CA
92844-1614

Practice Phone: 714-981-7467
Practice Fax:

1528828126 — MR. DENNIS ROBERT O'DELL RN
Practice Location Address:

512 GARDEN ST
NEWBURGH, NY
12550-1614

Practice Phone: 845-541-9156
Practice Fax:

1033035878 — LILY BALANOFF
Practice Location Address:

408 E 43RD ST STE 1223
GARDEN CITY, ID
83714-4925

Practice Phone: 208-562-7325
Practice Fax:

1376312520 — STERLING PROVIDER GROUP
Practice Location Address:

6965 N GLENWOOD ST
GARDEN CITY, ID
83714-1967

Practice Phone: 208-853-3000
Practice Fax: 208-542-9114

1245164128 — STEPHEN CRANE
Practice Location Address:

412 E 41ST ST STE 2
GARDEN CITY, ID
83714-6348

Practice Phone: 208-996-3650
Practice Fax:

Directions to “ REBECCA L JOHNSTON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.