Provider Demographics
NPI:1578605028
Name:JOHNSTON, CARRIE DEEGAN (BSW)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:DEEGAN
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HOMESTEAD DUQUESNE RD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2917
Mailing Address - Country:US
Mailing Address - Phone:412-466-3149
Mailing Address - Fax:
Practice Address - Street 1:1800 WEST ST REAR
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-2578
Practice Address - Country:US
Practice Address - Phone:412-462-9901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health