| Nicholas Johnson, LCSW | |
|
1312 Westen St, Bowling Green, KY 42104-3352 | |
| (270) 784-9630 | |
| (270) 904-1073 |
| Full Name | Nicholas Johnson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1312 Westen St, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235612946 | NPI | - | NPPES |
| 7100753330 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 255710 (Kentucky) | Primary |
| Entity Name | Wilson Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427480060 PECOS PAC ID: 6608091079 Enrollment ID: O20140627001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Johnson, LCSW 1312 Westen St, Bowling Green, KY 42104-3352 Ph: (270) 904-1072 | Nicholas Johnson, LCSW 1312 Westen St, Bowling Green, KY 42104-3352 Ph: (270) 784-9630 |
Rebecca Woodrow, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 Fax: 270-904-6570 | |
Jamee N. Coombes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 948 Elm St Ste 2, Bowling Green, KY 42101 Phone: 270-266-1188 | |
Alexandria Ann Carman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 661 Us 31w Byp, Bowling Green, KY 42101 Phone: 364-203-9250 | |
Tara Defoor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln Ste 105, Bowling Green, KY 42104 Phone: 270-599-0847 | |
Mr. David Robert Rupsch Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 996 Wilkinson Trce, Suite A-4, Bowling Green, KY 42103 Phone: 270-904-1072 Fax: 270-904-1073 | |
Kelly R Foust, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2815 Russellville Rd, Bowling Green, KY 42101 Phone: 270-883-1109 | |
Carolyn Kates-glass, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104 Phone: 270-392-5531 Fax: 270-393-9011 |