# JEANNE E JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992712608
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 996 | NE | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 03/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 037118000 | MAGELLAN | NE |
| 05 | — | 48118252626 | — | NE |
| 01 | — | 83049 | BCBS | KS |
| 01 | — | 83049 | BCBS | NE |