MEDICARE: CARA JOHNSON LSW

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	104100000X	Social Worker	S.1600142	OH
2	104100000X	Social Worker		OH

General Provider Information

NPI Number	:	1528583309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA JOHNSON LSW

Provider Business Mailing Address
First Line	:	1 AURORA L GONZALEZ DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-2783
Country	:	US
Telephone Number	:	419-340-7879
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 AURORA L GONZALEZ DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-2783
Country	:	US
Telephone Number	:	419-340-7879
Fax Number	:

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

Provider Enumeration Date	:	08/14/2017
Last Update Date	:	11/02/2023

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Directions to “ CARA JOHNSON LSW” Practice Location

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