| Brandon Jay Johnson, LCSW | |
|
2180 E 4500 S, Holladay, UT 84117-4434 | |
| (801) 416-0862 | |
| Not Available |
| Full Name | Brandon Jay Johnson |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 2180 E 4500 S, Holladay, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497419501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8603913-3501 (Utah) | Primary |
| Entity Name | Mulligan Counseling Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013601244 PECOS PAC ID: 9739528514 Enrollment ID: O20240412000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Jay Johnson, LCSW 11411 S Holly Springs Dr, South Jordan, UT 84009-1278 Ph: (801) 471-4585 | Brandon Jay Johnson, LCSW 2180 E 4500 S, Holladay, UT 84117-4434 Ph: (801) 416-0862 |
Amy Rose White, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 South 2180 East, Suite 165, Holladay, UT 84117 Phone: 801-461-9060 | |
Camile Nielson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4790 S Holladay Blvd, Holladay, UT 84117 Phone: 801-509-9511 | |
Heidi Kinnersley Chee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2040 Murray Holladay Rd, Holladay, UT 84117 Phone: 801-256-1590 Fax: 801-272-5094 | |
Ms. Suzanne Marie Fields, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2040 Murray Holladay Rd, Suite 222, Holladay, UT 84117 Phone: 801-808-0244 Fax: 801-278-0489 | |
Jennifer Stewart Clark, MSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 E Murray Holladay Rd Ste 101, Holladay, UT 84117 Phone: 801-980-2566 | |
Jacob Kenison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 E Murray Holladay Rd Ste 101, Holladay, UT 84117 Phone: 801-980-2566 | |
Zachary Justus Swensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2046 E Murray Holladay Rd Ste 101, Holladay, UT 84117 Phone: 801-980-2566 |