Individual
MERIDETH L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 FALLS BLVD S, WYNNE, AR 72396-3041
(870) 362-3218
(870) 362-3219
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2676-M
AR
1041C0700X
Clinical Social Worker
Primary
4510-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188212795
—
AR
Enumeration date
07/20/2011
Last updated
05/04/2026
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