Johnson, Mary A

Johnson, Mary A is an individual health care provider with primary practice located at 5956 Colony Ct , Boca Raton FL 33433-5204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Mary A can be contacted via phone (305) 753-0544.

Contact Information

Primary practice address
5956 Colony Ct Boca Raton FL 33433-5204
Fax:
Website:

Health care specialties

Profile Details

NPI number 1356482830
LBN Legal business name Johnson, Mary A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 21st, 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 1356482830 NPPES
Florida MEDICAID 762622300

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