Johnson, Linda Ann
Johnson, Linda Ann is an individual health care provider with primary practice located at 17325 Van Wagoner Rd , Spring Lake MI 49456-9702. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Linda Ann can be contacted via phone (616) 847-5145.Contact Information
Primary practice address
17325 Van Wagoner Rd
Spring Lake MI 49456-9702
Phone: (616) 847-5145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC12201 | Maine |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801066138 | Michigan |
Profile Details
| NPI number | 1093853863 |
|---|---|
| LBN Legal business name | Johnson, Linda Ann |
| Credentials | LCSW, LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Oct 9th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093853863 | NPPES |
| Maine | MEDICAID | 435265199 | |
| Maine | Other | LJ066138 |
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