| Mrs Gloria Jean Johnston, | |
|
5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | |
| (715) 478-4300 | |
| (715) 478-4490 |
| Full Name | Mrs Gloria Jean Johnston |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5409 Everybodys Road, Crandon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316955297 | NPI | - | NPPES |
| 273386825009 | Other | WI | BLUE CROSS BLUE SHIELD |
| 69676 | Other | WI | SECURITY HEALTH PLAN |
| 39752800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6564123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gloria Jean Johnston, Po Box 396, 5409 Everybodys Road Forest County Potawatomi Health, Crandon, WI 54520 Ph: (715) 478-4300 | Mrs Gloria Jean Johnston, 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 Ph: (715) 478-4300 |
Brandy N Jastrow, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Po Box 396, Crandon, WI 54520 Phone: 715-478-4339 Fax: 715-478-4494 | |
Abigail B Ashbeck, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180 | |
Amy E Booher, APSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4339 | |
Tracy Lynne Ferraro-schumacher, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 W Glen St, Crandon, WI 54520 Phone: 715-478-6300 |