Johnson, Michelle Renae

Johnson, Michelle Renae is an individual health care provider with primary practice located at 1051 Morrell Ave , Connellsville PA 15425-3958. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Michelle Renae can be contacted via phone (724) 437-0729.

Contact Information

Primary practice address
1051 Morrell Ave Connellsville PA 15425-3958
Phone: (724) 437-0729
Fax: (724) 437-2761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW014499 Pennsylvania

Profile Details

NPI number 1497707764
LBN Legal business name Johnson, Michelle Renae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 9th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497707764 NPPES
Other 1430686 HIGHMARK
MEDICAID 001931501 HIGHMARK

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