Organization Active NPI

Eileen W. Johnson, LCSW, LLC

  • Clinical Social Worker
  • Brunswick, ME
National Provider Identifier
1184871196
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC4603 Issued in ME
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

Updated by the provider on Aug 20, 2008

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.