Individual provider · Type 1 NPI
Quashon Adaire Johnson Sr., LCSW
Clinical Social Worker · Fort Benning, GA
Practice location
6635 Bass Rd Bldg 92145
Fort Benning, GA 31905-5602
Fax (706) 626-0827
Mailing address
119 Brook Trl
Newnan, GA 30265-6140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 7087 (OK) |
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 1669090130
Quashon Adaire Johnson Sr., LCSW's National Provider Identifier is 1669090130, issued on Jul 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Benning, GA. The record was last updated on Jul 10, 2020.