Individual provider · Type 1 NPI

Mark Johnson, LCSW

Clinical Social Worker · Norwich, CT

NPI number 1275686453 Active

Practice location

511 New London Tpke
Norwich, CT 06360-6552

Fax (860) 886-6182

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X005699 (CT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1275686453

Mark Johnson, LCSW's National Provider Identifier is 1275686453, issued on Jan 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norwich, CT. The record was last updated on Jul 8, 2007.