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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRAIG M JOHNSON

Deactivated Sole Proprietor

CRAIG M JOHNSON is a Clinical Social Worker healthcare provider located in BOISE, Idaho. NPI 1053841247 is deactivated in the NPPES registry. Verify at CMS.

Clinical Social Worker · BOISE, ID

This NPI has been deactivated. The record was deactivated on April 14, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1053841247
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2017 (4.8191780821918 yrs)
Last Updated
Mar 26, 2024
Deactivated
Apr 14, 2022
Licenses
42081 (ID)
36721 (ID)
Sole Proprietor
Yes

Practice Information

Address
2565 N CURRANT PL
BOISE, ID, 837045594
Browse ID providers · Browse ZIP 83704
Phone
2088595373
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Social Worker

Other Clinical Social Worker Providers in BOISE, ID

Name Credential NPI
MR. ROBERT LEE FRANKLIN LCSW 1588659676
MRS. JANE ELIZABETH KRUMM MSW 1578559308
GAIL E BAKER LCSW 1124091210
MELISSA ANN MEZO LCSW 1154380715
CLAUDIA GAYLE CURRIE-MILLS LCSW 1619936176
WILLIAM MARTIN VOGEL LCSW 1922068063
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.