| 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 |