| Bethany R Johnson, LCSW | |
|
3008 Bevcher Dr, Madison, IN 47250-3863 | |
| (812) 265-1918 | |
| (812) 265-1828 |
| Full Name | Bethany R Johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3008 Bevcher Dr, Madison, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336591668 | NPI | - | NPPES |
| 610661458 | Other | KY | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 252265 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34008720A (Indiana) | Primary |
| Entity Name | Centerstone Of Indiana, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
| Entity Name | B Johnson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053078832 PECOS PAC ID: 3971995994 Enrollment ID: O20220124001910 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany R Johnson, LCSW 606 E Main St, Ste 2, Madison, IN 47250-3689 Ph: (812) 339-1691 | Bethany R Johnson, LCSW 3008 Bevcher Dr, Madison, IN 47250-3863 Ph: (812) 265-1918 |
Kimberly Ann Carlson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 Jefferson St, Madison, IN 47250 Phone: 812-801-5899 | |
Paul Hartman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1405 Bear St, Madison, IN 47250 Phone: 812-265-4513 Fax: 812-265-4518 | |
Mrs. Renee E Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3008 Bevcher Dr, Madison, IN 47250 Phone: 812-265-1918 Fax: 812-265-1828 | |
Karen Friedersdorf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3008 Bevcher Dr, Madison, IN 47250 Phone: 812-265-1918 Fax: 812-378-8367 | |
Mrs. Connie Thompson Chambers, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 606 E Main St, Madison, IN 47250 Phone: 812-265-4151 Fax: 812-265-5028 | |
Leslie Cain, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3008 Bevcher Dr, Madison, IN 47250 Phone: 812-265-1918 |