Vanessa M Johnston, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Aurora, MO
NPI 1871801969 · NPPES record last updated Sep 22, 2010
Key facts
- NPI
- 1871801969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2006005449 (MO)
- Practice address
- 903 Sunshine Dr
Aurora, MO 65605-1955 - Phone
- (417) 678-5361
- NPI assigned
- Sep 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006005449 | MO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2006005449 | MO | Yes |
Addresses
Primary practice location
903 Sunshine Dr
Aurora, MO 65605-1955
Mailing address
903 Sunshine Dr
Aurora, MO 65605-1955
Phone (417) 678-5361
Other providers in Aurora, MO
- Independent Imaging, LLC
- Deborah Leann Inman
- Susan Inman
- Richard Jenkins
- John a. Watts, DC, LLC
- Karah D Young, LLC
- Kingdom Life Counseling LLC
- Jeanette M Kristek
- Ken W Kuschel
- Lawrence County Board for the Developmentally Disabled
All providers in Aurora, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2010. 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.