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NPI Code Detail

MEDICARE: MISS COURTNEY JOHNSON LCSW

MEDICARE: MISS COURTNEY 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 Worker123841MA
21041C0700XClinical Social WorkerCSW.09931445CO

General Provider Information

NPI Number : 1477141786
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS COURTNEY JOHNSON LCSW
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11 S ADAMS ST
Second Line :
City : DENVER
State : CO
Zip : 80209-2909
Country : US
Telephone Number : 303-394-2561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2021
Last Update Date : 08/01/2025

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Directions to “ MISS COURTNEY JOHNSON LCSW” Practice Location

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