Individual
LATIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 LIBERTY ST, SCHENECTADY, NY 12305-2014
(518) 370-8124
Mailing address
15 ELM PL, CLIFTON PARK, NY 12065-5340
(518) 727-2735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
091509
NY
1041S0200X
School Social Worker
Primary
091509
NY
1041S0200X
School Social Worker
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Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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