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NPI Code Detail

MEDICARE: MS. RACHEL JOHNSON MSW, LCSW

MEDICARE: MS. RACHEL JOHNSON MSW, 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 Worker9320-CNV
2104100000XSocial Worker8016-SNV

General Provider Information

NPI Number : 1992152359
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL JOHNSON MSW, LCSW
Provider Business Mailing Address
First Line : 400 SHADOW LN
Second Line : STE 105
City : LAS VEGAS
State : NV
Zip : 89106-4355
Country : US
Telephone Number : 702-358-1570
Fax Number :
Provider Business Practice Location Address
First Line : 3131 W CRAIG RD STE 180
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0861
Country : US
Telephone Number : 702-586-5999
Fax Number : 702-586-5991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2016
Last Update Date : 06/29/2021

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