Johnson, Jody A.

Johnson, Jody A. is an individual health care provider with primary practice located at 308 N Locust St , Grand Island NE 68801-5969. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Jody A. can be contacted via phone (402) 225-6360.

Contact Information

Primary practice address
308 N Locust St Grand Island NE 68801-5969
Phone: (402) 225-6360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8325 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1238 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 111283 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2166 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1338 Nebraska

Profile Details

NPI number 1760680797
LBN Legal business name Johnson, Jody A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Jul 7th, 2022 - about 2 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 1760680797 NPPES
Nebraska MEDICAID 10025173100

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