Individual
JEANNE E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
127 S. 37TH ST., SUITE A, LINCOLN, NE 68510-1502
(402) 476-7557
(402) 476-9912
Mailing address
127 S. 37TH ST., SUITE A, LINCOLN, NE 68510-1502
(402) 476-9912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
996
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037118000
MAGELLAN
NE
05
—
48118252626
—
NE
01
—
83049
BCBS
KS
01
—
83049
BCBS
NE
Enumeration date
08/02/2006
Last updated
03/10/2016
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