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Jacqueline Johnson

Clinical Social Worker

633 Gidney Ave Suite 6
Newburgh , New York 12550-2800

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Jacqueline Johnson

Clinical Social Worker

633 Gidney Ave Suite 6
Newburgh , New York 12550-2800

(866) 619-5710

Write a Review Save Call

Jacqueline Johnson

Clinical Social Worker

633 Gidney Ave Suite 6
Newburgh , New York 12550-2800

(866) 619-5710 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Social Worker

Languages spoken

  • English

Location

633 Gidney Ave Suite 6 Newburgh , New York 12550-2800

First Address

  • Jacqueline Johnson
  • 633 Gidney Ave Suite 6
  • Newburgh, NY
  • Zip : 12550-2800
  • Fax : (866) 619-5710
  • Phone : (845) 569-2900

Second Address

  • Jacqueline Johnson
  • 633 Gidney Ave Suite 6
  • Newburgh, NY
  • Zip : 12550-2800
  • Fax : (866) 619-5710
  • Phone : (845) 569-2900

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FAQs


Where did Jacqueline Johnson attend graduate school?

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Where did Jacqueline Johnson do her residency?

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Where did Jacqueline Johnson do her fellowship?

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Is Jacqueline Johnson board certified?

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What type of doctor is Jacqueline Johnson

Clinical Social Worker

In what state does Jacqueline Johnson practice in?

New York

Where is Jacqueline Johnson ’s practice located?

633 Gidney Ave Suite 6 , Newburgh, New York, 12550-2800

What is Jacqueline Johnson ’s gender?

Female

Is Jacqueline Johnson a sole practitioner?

No

Is Jacqueline Johnson accepting new patients?

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What languages does Jacqueline Johnson speak?

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Does Jacqueline Johnson accept insurance?

Yes, Jacqueline Johnson accepts insurance

Does Jacqueline Johnson offers telemedicine?

Jacqueline Johnson has not indicated if she offers telemedicine

What is Jacqueline Johnson ’s professional license number?

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What is Jacqueline Johnson ’s NPI number?

1003177577

Does Jacqueline Johnson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1041C0700X Clinical Social Worker 078459 NY

National Provider Identifier

NPI 1003177577
Provider Name Jacqueline Johnson
First Address Newburgh, NY 12550-2800
Second Address Newburgh, NY 12550-2800
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 31/05/2012
Last Update Date 31/05/2012

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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