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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518290527 | NPPES |
| Florida | MEDICAID | 914570200 | |
| Florida | MEDICAID | 811955400 |
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