Johnson, Nicole
Johnson, Nicole is an individual health care provider with primary practice located at 620 South Laurel Street , Pine Bluff AR 71601. 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, Nicole can be contacted via phone (870) 534-4900.Contact Information
Primary practice address
620 South Laurel Street
Pine Bluff AR 71601
Phone: (870) 534-4900
Fax: (501) 534-4906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1868-M | Arkansas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2235-C | Arkansas |
Profile Details
| NPI number | 1659434215 |
|---|---|
| LBN Legal business name | Johnson, Nicole |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | May 17th, 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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