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General NPI Number Information
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NPI Number | 1447430798
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Entity Type | Individual
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Provider Name | DREW MCNEILL JOHNSON MSW. LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/04/2007
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 2115 MILLBURN AVE STE 100
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3724
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Country | US
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Telephone | 917-568-7524
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Fax |
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Provider Business Mailing Address
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Address Line | 48 DUFFIELD DR
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-1016
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Country | US
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Telephone | 917-568-7524
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05288400
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License Number State | NJ
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