National Provider Identifier
Colleen Ann Johnston, LCSWR
Colleen Ann Johnston, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Hall, NY and a listed phone number of (585) 748-8699.
Profile Overview
- NPI
- 1407180250
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 28, 2009
- Last Updated
- April 30, 2010
Practice Location
- 4858 Route 14A
- Apt. E
- Hall, NY 14463
Phone: (585) 748-8699
Mailing Address
- 4561 Wabash RD
- Geneva, NY 14456-9721
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1407180250
- Entity Type
- Individual
- Last Name
- Johnston
- First Name
- Colleen
- Middle Name
- Ann
- Credential
- LCSWR
- Mailing Street Address
- 4561 Wabash RD
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-9721
- Mailing Country
- US
- Mailing Phone
- (585) 526-4703
- Practice Street Address
- 4858 Route 14A
- Practice Address Line 2
- Apt. E
- Practice City
- Hall
- Practice State
- NY
- Practice ZIP Code
- 14463
- Practice Country
- US
- Practice Phone
- (585) 748-8699
- Enumeration Date
- September 28, 2009
- Last Updated
- April 30, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)