Provider Demographics
NPI:1396041513
Name:JOHNSON, MARGARET ANN (MSW, LSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4371 FORT LOUDON RD
Mailing Address - Street 2:
Mailing Address - City:MERCERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17236-9636
Mailing Address - Country:US
Mailing Address - Phone:717-264-5125
Mailing Address - Fax:717-261-9695
Practice Address - Street 1:119 LINCOLN WAY W
Practice Address - Street 2:
Practice Address - City:MC CONNELLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17233-1302
Practice Address - Country:US
Practice Address - Phone:717-325-0136
Practice Address - Fax:717-325-0138
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW128434104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker