Latoya Cordrellia Johnson, LMSW is a
Social Worker - Clinical based in Jackson, Mississippi. Latoya Cordrellia Johnson is licensed to practice in Mississippi (license number C6485) and her current practice location is
1500 E Woodrow Wilson Dr, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 940-8861.
NPI number for Latoya Cordrellia Johnson is 1831281922 and her current mailing address is 1500 E Woodrow Wilson Dr, Jackson, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831281922.
Healthcare Provider's Profile
| Full Name | Latoya Cordrellia Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1500 E Woodrow Wilson Dr, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831281922
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 06/16/2014
Medical Identifiers
Medical identifiers for Latoya Cordrellia Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831281922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | M6485 (Mississippi) | Secondary |
| 1041C0700X | Social Worker - Clinical | C6485 (Mississippi) | 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. Latoya Cordrellia Johnson 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 |
Latoya Cordrellia Johnson, LMSW 1500 E Woodrow Wilson Dr, Jackson, MS 39217-0001 Ph: (601) 940-8861 | Latoya Cordrellia Johnson, LMSW 1500 E Woodrow Wilson Dr, Jackson, MS 39217-0001 Ph: (601) 940-8861 |
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