Individual
CARMEN ELISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
802 E 86TH ST, INDIANAPOLIS, IN 46240-1806
(317) 997-9676
Mailing address
5577 GOODWIN ST, INDIANAPOLIS, IN 46234-5501
(317) 997-7659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009101A
IN
Other
Enumeration date
02/14/2014
Last updated
07/22/2025
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