Provider Demographics
NPI:1376355511
Name:JOHNSON, MARGARET REGENIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:REGENIA
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 1:102 HAMPTON HILLS CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-4417
Mailing Address - Country:US
Mailing Address - Phone:601-906-4280
Mailing Address - Fax:
Practice Address - Street 1:102 HAMPTON HILLS CT
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-4417
Practice Address - Country:US
Practice Address - Phone:601-906-4280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM84831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical