Provider Demographics
NPI:1861664526
Name:JOHNSON, BARBARA CRISPELL (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:CRISPELL
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CREST DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:ME
Mailing Address - Zip Code:04352-3055
Mailing Address - Country:US
Mailing Address - Phone:609-737-9694
Mailing Address - Fax:
Practice Address - Street 1:2250 MILLARD HARRISON DR
Practice Address - Street 2:
Practice Address - City:READFIELD
Practice Address - State:ME
Practice Address - Zip Code:04355-3573
Practice Address - Country:US
Practice Address - Phone:207-685-4923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44CS053382001041C0700X
MELC158161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical