National Provider Identifier
Jeffrey Robert Johnson, LCSW-R
Jeffrey Robert Johnson, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 834-4270.
Profile Overview
- NPI
- 1316960107
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 25, 2006
- Last Updated
- July 08, 2007
Practice Location
- 252 Ranch Trl W
- 3495 Bailey Avenue
- Buffalo, NY 14221-2246
Phone: (716) 834-4270
Mailing Address
- 252 Ranch Trl W
- Williamsville, NY 14221-2246
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1316960107
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Jeffrey
- Middle Name
- Robert
- Name Prefix
- Mr.
- Credential
- LCSW-R
- Mailing Street Address
- 252 Ranch Trl W
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2246
- Mailing Country
- US
- Mailing Phone
- (716) 689-4326
- Practice Street Address
- 252 Ranch Trl W
- Practice Address Line 2
- 3495 Bailey Avenue
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14221-2246
- Practice Country
- US
- Practice Phone
- (716) 834-4270
- Enumeration Date
- July 25, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- R041610 (NY, Lcsw-R)