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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093853863 NPPES
Maine MEDICAID 435265199
Maine Other LJ066138

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