MEDICARE: MRS. DONNA MICHELLE JOHNSON LICSW

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	3523C	AL
2	1041C0700X	Clinical Social Worker	LC23582	ME
3	1041C0700X	Clinical Social Worker	CSW09931567	CO
4	1041C0700X	Clinical Social Worker	44SC06500000	NJ
5	1041C0700X	Clinical Social Worker	9727	TN
6	1041C0700X	Clinical Social Worker	4371153	ID
7	1041C0700X	Clinical Social Worker	127961	MA

General Provider Information

NPI Number	:	1518628874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DONNA MICHELLE JOHNSON LICSW

Provider Business Mailing Address
First Line	:	650 JOEL DR
Second Line	:
City	:	FORT CAMPBELL
State	:	KY
Zip	:	42223-8355
Country	:	US
Telephone Number	:	270-798-8004
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 JOEL DR
Second Line	:
City	:	FORT CAMPBELL
State	:	KY
Zip	:	42223-5318
Country	:	US
Telephone Number	:	270-798-8004
Fax Number	:

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

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	06/04/2026

Similar Medicare Providers

1407260854 — DR. DEREK T KIRBY D.O.
Practice Location Address:

650 JOEL DR , BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY
42223-5318

Practice Phone: 270-461-4793
Practice Fax: 270-412-4151

1811990211 — AMY MICHELLE PAPSZYCKI CNM
Practice Location Address:

650 JOEL DR
FORT CAMPBELL, KY
42223-5318

Practice Phone: 999-999-9999
Practice Fax:

1306840194 — JAMES H WALKER MD
Practice Location Address:

650 JOEL DR
FORT CAMPBELL, KY
42223-5318

Practice Phone: 540-968-6564
Practice Fax:

1982601803 — MS. CAROL LYNN PASEWARK M.ED., LPC
Practice Location Address:

650 JOEL DR
FORT CAMPBELL, KY
42223-5318

Practice Phone: 270-412-3112
Practice Fax:

1295734457 — DR. GEORGE NELSON APPENZELLER M.D.
Practice Location Address:

650 JOEL DR , BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY
42223-5318

Practice Phone: 270-798-8041
Practice Fax:

1801880620 — DR. RUFUS WILLIAM MOORE JR. M.D.
Practice Location Address:

650 JOEL DR , BLANCHFIELD ARMY COMMUNITY HOSPITAL,RM3CB39
FORT CAMPBELL, KY
42223-5318

Practice Phone: 270-798-8400
Practice Fax: 270-956-0180

Directions to “ MRS. DONNA MICHELLE JOHNSON LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.