Ms Stacey Johnson, CADC-CAS is a
Adult Companion based in Sacramento, California. Ms Stacey Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3947 Lennane Dr Ste 110, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 283-8280.
NPI number for Ms Stacey Johnson is 1932590783 and her current mailing address is 4036 Andedon Cir, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932590783.
Healthcare Provider's Profile
| Full Name | Ms Stacey Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Adult Companion |
|---|
| Location | 3947 Lennane Dr Ste 110, Sacramento, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932590783
- Provider Enumeration Date: 02/16/2015
- Last Update Date: 04/25/2025
Medical Identifiers
Medical identifiers for Ms Stacey Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932590783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | 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. Ms Stacey 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 |
|---|
Ms Stacey Johnson, CADC-CAS
4036 Andedon Cir,
Sacramento, CA 95826-5506
Ph: (916) 303-0090 | Ms Stacey Johnson, CADC-CAS
3947 Lennane Dr Ste 110,
Sacramento, CA 95834-1971
Ph: (916) 283-8280 |
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