Individual
MARY KAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CSW PIP QMNP
Contact information
Practice address
1103 JENSON AVE SE, WATERTOWN, SD 57201-5259
(605) 878-1234
(605) 878-2211
Mailing address
1103 JENSON AVE SE, WATERTOWN, SD 57201-5259
(605) 878-1234
(605) 878-2211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW PIP 1991
SD
104100000X
Social Worker
LCSW 1557
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6571100
—
SD
Enumeration date
10/21/2006
Last updated
05/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us