Individual provider · Type 1 NPI

Suezan L. Johnson, LCSW

Clinical Social Worker · North Logan, UT

NPI number 1770513962 Active

Practice location

1515 N 400 E Ste 104
North Logan, UT 84341-7595

Fax (435) 755-6091

Mailing address

517 W 100 N Ste 210
Providence, UT 84332-9826

Other practice locations

  • 152 S 4th St, Montpelier, ID 83254-1538 · (208) 847-2108
  • 5 W 200 N, Brigham City, UT 84302-2109 · (435) 723-7999
  • 120 S Main St, Randolph, UT 84064-7701 · (435) 755-6061
  • 517 W 100 N Ste 110, Providence, UT 84332-9826 · (435) 755-6075
  • 325 W Logan Rd, Garden City, UT 84028-7754 · (435) 946-3660

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X126457-3501 (UT)
Social Worker 104100000XLCSW-39191 (ID)
Clinical Social Worker 1041C0700XLCSW-39191 (ID)
Clinical Social Worker Primary 1041C0700X1264573501 (UT)

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 1770513962

Suezan L. Johnson, LCSW's National Provider Identifier is 1770513962, issued on Jul 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Logan, UT. The record was last updated on Jan 16, 2024.