Johnson, Marckdaline

Johnson, Marckdaline is an sole proprietor health care provider with primary practice located at 2950 Cleveland Clinic Blvd , Weston FL 33331-3609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Johnson, Marckdaline can be contacted via phone (954) 649-2807.

Contact Information

Primary practice address
2950 Cleveland Clinic Blvd Weston FL 33331-3609
Phone: (954) 649-2807
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1518290527
LBN Legal business name Johnson, Marckdaline
Credentials LCSW, MFT, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2009
Last updated Feb 12th, 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 1518290527 NPPES
Florida MEDICAID 914570200
Florida MEDICAID 811955400

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