Provider Demographics
NPI:1245397140
Name:JOHNSON, JOANNE SADLER (MSW)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:SADLER
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 PYRAMID LN
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-2639
Mailing Address - Country:US
Mailing Address - Phone:781-545-6913
Mailing Address - Fax:
Practice Address - Street 1:37 PYRAMID LN
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-2639
Practice Address - Country:US
Practice Address - Phone:781-545-6913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10167501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1016750OtherSTATE LICENSE