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

MS. JENNIFER REBECCA JOHNSON, LCSW

Active Sole Proprietor

MS. JENNIFER REBECCA JOHNSON, LCSW is a Clinical Social Worker healthcare provider located in PEORIA, Illinois. NPI 1366455008 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PEORIA, IL

Registration Details

NPI Number
1366455008
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2006 (19.980886748474 yrs)
Last Updated
Apr 11, 2013
License
149.013441 (IL)
Sole Proprietor
Yes

Practice Information

Address
7717 N ORANGE PRAIRIE RD
PEORIA, IL, 616159323
Browse IL providers · Browse ZIP 61615
Phone
3095896800
Fax
3095896993
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PEORIA, IL

Name Credential NPI
DIANE M BITTLE MSW.,LCSW 1710957550
MR. BRADLEY ALLEN POST LCSW 1821069725
JAMES M HERR LCSW 1851363675
MARY C BRUELL LCSW 1659345007
MS. JULIE A DIBERNARDINO-DOEDEN LCSW 1316901168
MS. NANCY A AMOS-SCHULTE LICENSED CLINICAL SO 1255396909
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.