Active NPI
Eileen W. Johnson, LCSW, LLC
- Clinical Social Worker
- Brunswick, ME
National Provider Identifier
1184871196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC4603
- Legal business name
- EILEEN W. JOHNSON, LCSW, LLC
- Practice address
- 98 Maine St
Brunswick, ME 04011-2031 - Phone
- (207) 729-5644
- Fax
- (207) 729-5699
- NPI assigned
- Aug 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eileen W. Johnson, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (207) 729-5644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC4603 | ME | Primary |
Addresses
Primary practice location
98 Maine St
Brunswick, ME 04011-2031
Mailing address
98 Maine St
Brunswick, ME 04011-2031
Phone (207) 729-5644
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1184871196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 MAINE ST",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112031",
"telephone_number": "207-729-5644",
"fax_number": "207-729-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 MAINE ST",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112031",
"telephone_number": "207-729-5644",
"fax_number": "207-729-5699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EILEEN W. JOHNSON, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "EILEEN",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "207-729-5644",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC4603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.