Individual
SHEILA RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Contact information
Practice address
2823 W MAIN ST, RAPID CITY, SD 57702-8170
(605) 737-6081
(605) 737-6015
Mailing address
1330 JOLLY LN, RAPID CITY, SD 57703-4763
(605) 343-2811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3492
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3492
LICENSE
SD
Enumeration date
12/21/2017
Last updated
05/23/2022
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