Jay Johnson, LICSW | |
16351 I94, Home On The Range, Sentinel Butte, ND 58654-9500 | |
(701) 872-3745 | |
(701) 872-3748 |
Full Name | Jay Johnson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 16351 I94, Sentinel Butte, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134249220 | NPI | - | NPPES |
19170 | Medicaid | ND | |
27570 | Other | ND | BS OF ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4012 (North Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jay Johnson, LICSW 16351 I94, Home On The Range, Sentinel Butte, ND 58654-9500 Ph: (701) 872-3745 | Jay Johnson, LICSW 16351 I94, Home On The Range, Sentinel Butte, ND 58654-9500 Ph: (701) 872-3745 |
Robin Ferren, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16351 I94, Sentinel Butte, ND 58654 Phone: 701-872-3745 Fax: 701-872-3748 | |
Morgan Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16351 I94, Sentinel Butte, ND 58654 Phone: 701-872-3745 |