Monique Johnson, LCSW

Individual provider Active NPI Clinical Social Worker · Tuckahoe, NY

NPI 1447520689 · NPPES record last updated Jan 5, 2012

Key facts

NPI
1447520689
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
071898-1 (NY)
Practice address
2 Stewart Ave
Tuckahoe, NY 10707-1718
Phone
(914) 771-4189
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
071898-1NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071898-1 NY Yes

Addresses

Primary practice location

2 Stewart Ave
Tuckahoe, NY 10707-1718

Mailing address

2 Stewart Ave
Tuckahoe, NY 10707-1718
Phone (914) 771-4189

Other providers in Tuckahoe, NY

All providers in Tuckahoe, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.