Anne Marie Johnson, LCSW
Individual provider Active NPI Clinical Social Worker · Wales, WI
NPI 1790296259 · NPPES record last updated Oct 23, 2017
Key facts
- NPI
- 1790296259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 564-123 (WI)
- Practice address
- S8W31381 Margaret Mary CT
Wales, WI 53183-9715 - Phone
- (414) 349-2962
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 564 | WI | MD | Clinical Child & Adolescent Psychologist |
| 564-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Johnson, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 564-123 | WI | Yes |
Addresses
Primary practice location
S8W31381 Margaret Mary CT
Wales, WI 53183-9715
Mailing address
S8W31381 Margaret Mary CT
Wales, WI 53183-9715
Phone (414) 349-2962
Other providers in Wales, WI
- Melissa Haakenson
- Amy Ann Harter
- Jacques Hoeffleur
- Hope Counseling Center, LLC
- Jack Hoeffleur DDS Inc
- Journeys Occupational Therapy LLC
- Kathleen Ann Kane
- Emily Klik
- Jessica Kupser
- Jared Landreman
All providers in Wales, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.