Individual
JODY A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
308 N LOCUST ST, GRAND ISLAND, NE 68801-5969
(402) 225-6360
Mailing address
308 N LOCUST ST, GRAND ISLAND, NE 68801-5969
(402) 225-6360
(402) 988-1565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
111283
IA
101YM0800X
Mental Health Counselor
1238
NE
101YM0800X
Mental Health Counselor
8325
NE
1041C0700X
Clinical Social Worker
111283
IA
1041C0700X
Clinical Social Worker
Primary
1338
NE
1041C0700X
Clinical Social Worker
2166
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025173100
—
NE
Enumeration date
07/11/2007
Last updated
03/12/2026
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