Individual provider · Type 1 NPI

Shirley Laraine Johnson, LCSW

Clinical Social Worker · Medford, OR

NPI number 1417166455 Active

Practice location

33 N Central Ave, Suite 320
Medford, OR 97501-5900

Call (541) 890-3066 Map

Fax (541) 779-3260

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL2938 (OR)

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 1417166455

Shirley Laraine Johnson, LCSW's National Provider Identifier is 1417166455, issued on May 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Jul 8, 2007.