Johnson, Tania Melissa
Johnson, Tania Melissa is an sole proprietor health care provider with primary practice located at 5355 Date Palm St , Cocoa FL 32927. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Johnson, Tania Melissa can be contacted via phone (321) 213-7117.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ISW 8612 | Florida |
Profile Details
| NPI number | 1659716165 |
|---|---|
| LBN Legal business name | Johnson, Tania Melissa |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2013 |
| Last updated | Jun 13th, 2022 - 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 | 1659716165 | NPPES |
| Florida | MEDICAID | 100826200 |
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