Johnson, Susan B
Johnson, Susan B is an individual health care provider with primary practice located at 421 W Exchange St , Freeport IL 61032-4008. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Susan B can be contacted via phone (815) 599-7300.Contact Information
Primary practice address
421 W Exchange St
Freeport IL 61032-4008
Phone: (815) 599-7300
Fax: (815) 599-7396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS24649 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-006062 | Illinois |
Profile Details
| NPI number | 1780827832 |
|---|---|
| LBN Legal business name | Johnson, Susan B |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2009 |
| Last updated | Feb 24th, 2021 - about 4 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 | 1780827832 | NPPES |
| Illinois | Other | 149-006062 | ILLINOIS LICENSE - LCSW |
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