Johnson, Mary A
Johnson, Mary A is an individual health care provider with primary practice located at 5956 Colony Ct , Boca Raton FL 33433-5204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Mary A can be contacted via phone (305) 753-0544.Contact Information
Primary practice address
5956 Colony Ct
Boca Raton FL 33433-5204
Phone: (305) 753-0544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 21680 | Florida |
Profile Details
| NPI number | 1356482830 |
|---|---|
| LBN Legal business name | Johnson, Mary A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Aug 21st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356482830 | NPPES |
| Florida | MEDICAID | 762622300 |
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