Individual
JENNIFER R A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 810-2367
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 810-2367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC19250
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM16867
STATE OF MAINE MASTER OF SOCIAL WORK
ME
Enumeration date
02/08/2018
Last updated
03/17/2025
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