National Provider Identifier
Jennifer L Johnston
Jennifer L Johnston is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (888) 975-2256.
Profile Overview
- NPI
- 1790822237
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- February 01, 2007
- Last Updated
- November 20, 2021
Practice Location
- 505 Ellicott St
- Buffalo, NY 14203-1547
Phone: (888) 975-2256
Mailing Address
- 155 N Main St
- Liberty, NY 12754-1864
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1790822237
- Entity Type
- Individual
- Last Name
- Johnston
- First Name
- Jennifer
- Middle Name
- L
- Mailing Street Address
- 155 N Main St
- Mailing City
- Liberty
- Mailing State
- NY
- Mailing ZIP Code
- 12754-1864
- Mailing Country
- US
- Practice Street Address
- 505 Ellicott St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1547
- Practice Country
- US
- Practice Phone
- (888) 975-2256
- Enumeration Date
- February 01, 2007
- Last Updated
- November 20, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)