Johnson, Denise

Johnson, Denise is an sole proprietor health care provider with primary practice located at 4720 Guilford Ave , Indianapolis IN 46205-1956. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Denise can be contacted via phone (317) 283-3270.

Contact Information

Primary practice address
4720 Guilford Ave Indianapolis IN 46205-1956
Phone: (317) 283-3270
Fax: (317) 283-2685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000912A Indiana
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 39000912A Indiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 39000912A Indiana
Behavioral Health & Social Service Providers / Social Worker 104100000X 33003101A Indiana

Profile Details

NPI number 1164642294
LBN Legal business name Johnson, Denise
Credentials LSW, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164642294 NPPES
Indiana Other 33003101A SOCIAL WORKER LICENSE
Indiana Other 39000912A SOCIAL WORKER LICENSE
Indiana Other 39000912A SOCIAL WORKER LICENSE

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