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NPI Code Detail

MEDICARE: XIMENA JOHNSTON ACSW

MEDICARE: XIMENA JOHNSTON ACSW
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 Worker126897CA

General Provider Information

NPI Number : 1164239265
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIMENA JOHNSTON ACSW
Provider Business Mailing Address
First Line : 101 S B ST
Second Line :
City : LOMPOC
State : CA
Zip : 93436-6933
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 S B ST
Second Line :
City : LOMPOC
State : CA
Zip : 93436-6933
Country : US
Telephone Number : 805-325-3318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2024
Last Update Date : 01/12/2026

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Directions to “ XIMENA JOHNSTON ACSW” Practice Location

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