MEDICARE: JA'NERA JOHNSON

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
1	1041C0700X	Clinical Social Worker	13758	LA
2	1041C0700X	Clinical Social Worker	LC200004244	DC
3	1041C0700X	Clinical Social Worker	149.029173	IL
4	1041C0700X	Clinical Social Worker	108278	TX

General Provider Information

NPI Number	:	1275060048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JA'NERA JOHNSON

Provider Business Mailing Address
First Line	:	609 METAIRIE RD # 8317
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-4034
Country	:	US
Telephone Number	:	504-329-6986
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 METAIRIE RD # 8317
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-4034
Country	:	US
Telephone Number	:	504-329-6986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	12/29/2025

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Directions to “ JA'NERA JOHNSON ” Practice Location

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