Individual provider · Type 1 NPI

Mary Johnson

Clinical Social Worker · West Memphis, AR

NPI number 1962764746 Active

Practice location

703 Calvin Avery Dr
West Memphis, AR 72301-6501

Call (870) 732-1878 Map

Fax (870) 702-7111

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1962764746

Mary Johnson's National Provider Identifier is 1962764746, issued on Jun 8, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Memphis, AR. The record was last updated on Jun 8, 2012.