Johnny Jefferson, is a
Social Worker - Clinical based in Capshaw, Alabama. Johnny Jefferson is licensed to practice in Alabama (license number 6087C) and their current practice location is
Po Box 363, Capshaw, Alabama. This provider can be reached at their office (for appointments etc.) via phone at
(304) 207-0210.
NPI number for Johnny Jefferson is 1609685668 and their current mailing address is Po Box 363, Capshaw, Alabama. This provider
does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1609685668.
Healthcare Provider's Profile
| Full Name | Johnny Jefferson |
|---|
| Gender | |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | Po Box 363, Capshaw, Alabama |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609685668
- Provider Enumeration Date: 01/04/2025
- Last Update Date: 01/04/2025
Medical Identifiers
Medical identifiers for Johnny Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609685668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 6087C (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnny Jefferson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Johnny Jefferson, Po Box 363, Capshaw, AL 35742-0363 Ph: (304) 207-0210 | Johnny Jefferson, Po Box 363, Capshaw, AL 35742-0363 Ph: (304) 207-0210 |
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