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NPI Code Detail

MEDICARE: APRIL MARIE JOHNSON LMSW

MEDICARE: APRIL MARIE JOHNSON LMSW
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
1104100000XSocial Worker6801095735MI

General Provider Information

NPI Number : 1568803740
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL MARIE JOHNSON LMSW
Provider Business Mailing Address
First Line : 6549 TOWN CENTER DR STE A
Second Line :
City : CLARKSTON
State : MI
Zip : 48346-4824
Country : US
Telephone Number : 248-620-6400
Fax Number :
Provider Business Practice Location Address
First Line : 2300 JOLLY OAK RD
Second Line :
City : OKEMOS
State : MI
Zip : 48864-3546
Country : US
Telephone Number : 517-679-2050
Fax Number : 517-679-2051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2013
Last Update Date : 03/17/2018

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Directions to “ APRIL MARIE JOHNSON LMSW” Practice Location

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