| Kenyatta L Johnson, | |
|
17304 Borromeo Ave, Pflugerville, TX 78660-6073 | |
| (512) 680-8443 | |
| Not Available |
| Full Name | Kenyatta L Johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 17304 Borromeo Ave, Pflugerville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144910027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1144910027 (Utah) | Secondary |
| 104100000X | Social Worker | 64915 (Texas) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenyatta L Johnson, 17304 Borromeo Ave, Pflugerville, TX 78660-6073 Ph: () - | Kenyatta L Johnson, 17304 Borromeo Ave, Pflugerville, TX 78660-6073 Ph: (512) 680-8443 |
Patricia Flores, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 E Pecan St Ste 300-265, Pflugerville, TX 78660 Phone: 737-397-1108 | |
Barbara Jefferson, LCSW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 Brown Dr, Pflugerville, TX 78660 Phone: 512-963-8568 | |
Kristen M Felter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Pecan St W, Pflugerville, TX 78660 Phone: 512-594-1960 | |
Kendra Knight Coleman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1601 E Pflugerville Pkwy, Pflugerville, TX 78660 Phone: 512-320-5785 | |
Miss Tesleigh Marie Eure, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 Rhetoric Way, Pflugerville, TX 78660 Phone: 305-746-3965 | |
Christina Perez, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1100 Sweet Leaf Ln, Pflugerville, TX 78660 Phone: 512-251-4836 |