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NPI Code Detail

MEDICARE: BRITTANY JOHNSON LCSW

MEDICARE:   BRITTANY  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 Worker149022764IL

General Provider Information

NPI Number : 1164091757
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY JOHNSON LCSW
Provider Business Mailing Address
First Line : 2429 W TOUHY AVE APT 1W
Second Line :
City : CHICAGO
State : IL
Zip : 60645-3314
Country : US
Telephone Number : 773-499-8678
Fax Number :
Provider Business Practice Location Address
First Line : 2429 W TOUHY AVE APT 1W
Second Line :
City : CHICAGO
State : IL
Zip : 60645-3314
Country : US
Telephone Number : 773-499-8678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2021
Last Update Date : 06/18/2021

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Directions to “ BRITTANY JOHNSON LCSW” Practice Location

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