MEDICARE: DR. BENJAMIN JOHNSTON-LEAMON 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
1	1041C0700X	Clinical Social Worker	110201	TX

General Provider Information

NPI Number	:	1760333280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN JOHNSTON-LEAMON LCSW

Provider Business Mailing Address
First Line	:	505 E EXCHANGE PKWY APT 6307
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-1758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 E EXCHANGE PKWY APT 6307
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-1758
Country	:	US
Telephone Number	:	502-554-6126
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ DR. BENJAMIN JOHNSTON-LEAMON LCSW” Practice Location

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