Johnson, Carolyn Nicole

Johnson, Carolyn Nicole is an sole proprietor health care provider with primary practice located at 202 W Park Ave , Champaign IL 61820-3929. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Johnson, Carolyn Nicole can be contacted via phone (217) 373-2428.

Contact Information

Primary practice address
202 W Park Ave Champaign IL 61820-3929
Phone: (217) 373-2428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.105981 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1982890562
LBN Legal business name Johnson, Carolyn Nicole
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2007
Last updated Feb 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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