Provider Information for 1043623721
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mr. TROY JOHNSON MSW, LCSW
Sex: Male
NPI: 1043623721
Last Updated: 2020-07-31
Certification Date: 2020-07-31
Certification Date: 2020-07-31
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043623721 | ||||||||||||||||
| Enumeration Date | 2014-06-10 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 420 W BELMONT AVE APT 10H CHICAGO, IL 60657-4723 United States Phone: 773-875-0928 | Fax: | ||||||||||||||||
| Primary Practice Address | 420 W BELMONT AVE APT 10H CHICAGO, IL 60657-4723 United States Phone: 773-875-0928 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|