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NPI Code Detail

MEDICARE: BARBARA M JOHNSON LCSW

MEDICARE: BARBARA M JOHNSON 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 Worker171WY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2800012252OTHERWYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1304571OTHERWYBLUE CROSS BLUE SHIELD
3275222OTHERWYVALUE OPTIONS

General Provider Information

NPI Number : 1114082823
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA M JOHNSON LCSW
Provider Business Mailing Address
First Line : 2321 DUNN AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3214
Country : US
Telephone Number : 307-778-8567
Fax Number : 307-778-9518
Provider Business Practice Location Address
First Line : 2321 DUNN AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3214
Country : US
Telephone Number : 307-778-8567
Fax Number : 307-778-9518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/08/2007

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Directions to “ BARBARA M JOHNSON LCSW” Practice Location

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