Individual
MS. NANCY ALICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSCSW
Contact information
Practice address
5040 BOB BILLINGS PKWY, STE D-1, LAWRENCE, KS 66049-3873
(785) 843-6002
Mailing address
5040 BOB BILLINGS PKWY, STE D-1, LAWRENCE, KS 66049-3873
(785) 843-6002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1244
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010195
BCBS PROVIDER
KS
01
—
60215
CIGNA PROVIDER
KS
01
—
6276093
UBH PROVIDER
KS
Enumeration date
07/25/2006
Last updated
08/05/2010
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