National Provider Identifier
Colleen Mary Johnson, LMSW, CSW
Colleen Mary Johnson, LMSW, CSW is listed in the NPPES registry with a primary specialty of Social Worker in Youngstown, NY and a listed phone number of (716) 531-6701.
Profile Overview
- NPI
- 1154075679
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- February 04, 2022
- Last Updated
- February 04, 2022
Practice Location
- 409 Main St
- Youngstown, NY 14174-1088
Phone: (716) 531-6701
Mailing Address
- 614 2Nd St
- Youngstown, NY 14174-1236
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1154075679
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Colleen
- Middle Name
- Mary
- Credential
- LMSW, CSW
- Mailing Street Address
- 614 2Nd St
- Mailing City
- Youngstown
- Mailing State
- NY
- Mailing ZIP Code
- 14174-1236
- Mailing Country
- US
- Mailing Phone
- (716) 531-6701
- Practice Street Address
- 409 Main St
- Practice City
- Youngstown
- Practice State
- NY
- Practice ZIP Code
- 14174-1088
- Practice Country
- US
- Practice Phone
- (716) 531-6701
- Enumeration Date
- February 04, 2022
- Last Updated
- February 04, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)