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NPI Code Detail

MEDICARE: MS. JENNIFER JOHNSON LSW

MEDICARE: MS. JENNIFER 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
1101Y00000XCounselorS0701244OH

General Provider Information

NPI Number : 1942734256
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER JOHNSON LSW
Provider Business Mailing Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1708
Country : US
Telephone Number : 614-445-8131
Fax Number : 614-324-5422
Provider Business Practice Location Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1708
Country : US
Telephone Number : 614-445-8131
Fax Number : 614-324-5422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2017
Last Update Date : 04/15/2026

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