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NPI Code Detail

MEDICARE: MS. KAREN REBECCA BAUGH-JOHNSON LCSW

MEDICARE: MS. KAREN REBECCA BAUGH-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 Worker0904007325VA

General Provider Information

NPI Number : 1265044416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN REBECCA BAUGH-JOHNSON LCSW
Provider Business Mailing Address
First Line : 428 WALDROP RD
Second Line :
City : GORDONSVILLE
State : VA
Zip : 22942-6201
Country : US
Telephone Number : 720-360-5522
Fax Number :
Provider Business Practice Location Address
First Line : 120 DOGWOOD LN
Second Line :
City : ORANGE
State : VA
Zip : 22960-1058
Country : US
Telephone Number : 888-365-6271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2020
Last Update Date : 08/19/2020

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