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Contact Information

JEAN MARIE JOHNSON, LICSW
76 SUMMER STREET
115
FITCHBURG, MA01420
 Phone: 978-962-1239
 Fax:
 Website: http://jeanmariejohnsonlicsw.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JEAN MARIE JOHNSON · (Female)

NPI # 1083268049
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 07/29/2019
Last updated 04/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 123868
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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