| Merideth L Johnson, LCSW | |
|
305 Falls Blvd S, Wynne, AR 72396-3041 | |
| (870) 362-3218 | |
| (870) 362-3219 |
| Full Name | Merideth L Johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 305 Falls Blvd S, Wynne, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073801338 | NPI | - | NPPES |
| 188212795 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4510-C (Arkansas) | Primary |
| 104100000X | Social Worker | 2676-M (Arkansas) | Secondary |
| Entity Name | Arcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275635542 PECOS PAC ID: 2567370620 Enrollment ID: O20031206000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Merideth L Johnson, LCSW Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Merideth L Johnson, LCSW 305 Falls Blvd S, Wynne, AR 72396-3041 Ph: (870) 362-3218 |
Rylee Ratton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-587-0576 | |
Brian D. Shaw, CM Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-208-8044 | |
Mrs. Edith Renee Sherman, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 134 County Road 665, Wynne, AR 72396 Phone: 870-238-5681 | |
Valisya Coleman, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-208-8044 | |
William Blake Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-208-8044 |