Shantress Monique Johnson
Individual provider Active NPI Social Worker · Cuthbert, GA
NPI 1891973582 · NPPES record last updated Feb 5, 2008
Key facts
- NPI
- 1891973582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- RR 3 Box 28
Cuthbert, GA 39840-9617 - Phone
- (229) 310-3125
- NPI assigned
- Feb 5, 2008
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
RR 3 Box 28
Cuthbert, GA 39840-9617
Mailing address
RR 3 Box 28
Cuthbert, GA 39840-9617
Phone (229) 310-3125
Other providers in Cuthbert, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2008. 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.