Individual
JASON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
90 ORCHARD ST FL 1, ELMWOOD PARK, NJ 07407-2113
(201) 315-4151
Mailing address
90 ORCHARD ST FL 1, ELMWOOD PARK, NJ 07407-2113
(201) 315-4151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05409700
NJ
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
04/12/2010
Last updated
03/17/2018
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