Johnson, Teresa Marie

Johnson, Teresa Marie is an sole proprietor health care provider with primary practice located at 15 Lasalle Ave # 108, Kenmore NY 14217-2641. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Teresa Marie can be contacted via phone (716) 510-7475.

Contact Information

Primary practice address
15 Lasalle Ave # 108 Kenmore NY 14217-2641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 078973-1 New York

Profile Details

NPI number 1295141182
LBN Legal business name Johnson, Teresa Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2014
Last updated Feb 18th, 2018 - about 6 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.

Request for update

Popular Providers