Jay Johnson, LICSW

Clinical Social Worker · Sentinel Butte, ND

Individual Active NPI

NPI number 1134249220

Practice location

16351 I94
Home on the Range
Sentinel Butte, ND 58654-9500
Phone
(701) 872-3745
Fax
(701) 872-3748

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NPI record

NPI
1134249220
Entity type
Individual (Type 1)
Enumeration date
March 30, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 4012 ND

About Jay Johnson

Jay Johnson, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 16351 I94, Home on the Range, Sentinel Butte, ND 58654-9500. The NPI number 1134249220 was assigned on March 30, 2007 and the record was last updated on July 8, 2007.

Jay Johnson lists a license in the registry: #4012 (ND) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Johnson, LICSW?

The NPI number is 1134249220.

What is the phone number of Jay Johnson?

The phone number listed for the practice location is (701) 872-3745.

Where is Jay Johnson located?

16351 I94, Home on the Range, Sentinel Butte, ND 58654-9500.

What is the taxonomy code for Jay Johnson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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