Individual
CARLY M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Mailing address
600 E 125TH ST BLDG 108, NEW YORK, NY 10035-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
094878
NY
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
04/01/2026
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