Individual
MRS. JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
9816592-3501
UT
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
12/28/2013
Last updated
08/21/2026
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