Johnson, Clyde

Johnson, Clyde is an individual health care provider with primary practice located at 930 N 14Th St , New Castle IN 47362-4311. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Johnson, Clyde can be contacted via phone (765) 288-1928.

Contact Information

Primary practice address
930 N 14Th St New Castle IN 47362-4311
Phone: (765) 288-1928
Fax: (765) 741-0335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006487A Indiana

Profile Details

NPI number 1568767317
LBN Legal business name Johnson, Clyde
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2011
Last updated Sep 20th, 2012 - about 14 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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