National Provider Identifier
Teresa Marie Johnson, LCSW
Teresa Marie Johnson, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Kenmore, NY and a listed phone number of (716) 510-7475.
Profile Overview
- NPI
- 1295141182
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 11, 2014
- Last Updated
- February 18, 2018
Practice Location
- 15 Lasalle Ave
- # 108
- Kenmore, NY 14217-2641
Phone: (716) 510-7475
Mailing Address
- 15 Lasalle Ave
- 108
- Kenmore, NY 14217-2641
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1295141182
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Teresa
- Middle Name
- Marie
- Credential
- LCSW
- Mailing Street Address
- 15 Lasalle Ave
- Mailing Address Line 2
- 108
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2641
- Mailing Country
- US
- Mailing Phone
- (716) 510-7475
- Practice Street Address
- 15 Lasalle Ave
- Practice Address Line 2
- # 108
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2641
- Practice Country
- US
- Practice Phone
- (716) 510-7475
- Enumeration Date
- July 11, 2014
- Last Updated
- February 18, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)