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NPI Code Detail

MEDICARE: CLAUDIUS JOHNSON LCSW

MEDICARE:   CLAUDIUS  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 WorkerLCS25062CA

General Provider Information

NPI Number : 1770738122
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIUS JOHNSON LCSW
Provider Business Mailing Address
First Line : 614 GRAND AVE
Second Line : STE 203
City : OAKLAND
State : CA
Zip : 94610-3554
Country : US
Telephone Number : 510-433-0244
Fax Number : 510-380-6525
Provider Business Practice Location Address
First Line : 614 GRAND AVE
Second Line : STE 203
City : OAKLAND
State : CA
Zip : 94610-3554
Country : US
Telephone Number : 510-433-0244
Fax Number : 510-380-6525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2008
Last Update Date : 01/11/2017

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Directions to “ CLAUDIUS JOHNSON LCSW” Practice Location

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