Individual provider · Type 1 NPI

Mark A. Johnson Sr., LCSW, LCDC

Clinical Social Worker · North Las Vegas, NV

NPI number 1811238587 Active

Practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

PO Box 336685
North Las Vegas, NV 89033-6685

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X14357 (TX)
Clinical Social Worker 1041C0700X60924 (TX)
Clinical Social Worker 1041C0700X089.0134242 (VT)
Clinical Social Worker Primary 1041C0700X97416 (CA)

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 1811238587

Mark A. Johnson Sr., LCSW, LCDC's National Provider Identifier is 1811238587, issued on Mar 6, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Las Vegas, NV. The record was last updated on Dec 15, 2023.