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NPI Code Detail

MEDICARE: LORRIE JOHNSON LCSW PLLC

MEDICARE: LORRIE JOHNSON LCSW PLLC
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 Worker

General Provider Information

NPI Number : 1912718651
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORRIE JOHNSON LCSW PLLC
Provider Business Mailing Address
First Line : 600 PARK AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14607-2926
Country : US
Telephone Number : 585-270-0269
Fax Number :
Provider Business Practice Location Address
First Line : 600 PARK AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14607-2926
Country : US
Telephone Number : 585-270-0269
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LORRIE A JOHNSON
Credential : LCSW
Telephone Number : 585-270-0269
Provider Enumeration Date : 01/14/2025
Last Update Date : 01/14/2025

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