National Provider Identifier
Dre Cameron Johnson, LCSW
Dre Cameron Johnson, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 309-8753.
Profile Overview
- NPI
- 1952053944
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 21, 2022
- Last Updated
- July 26, 2024
Practice Location
- 425 E Ridge RD Unit 17111
- Rochester, NY 14617-6504
Phone: (585) 309-8753
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1952053944
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Dre
- Middle Name
- Cameron
- Credential
- LCSW
- Mailing Street Address
- 425 E Ridge RD Unit 17111
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-6504
- Mailing Country
- US
- Practice Street Address
- 425 E Ridge RD Unit 17111
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-6504
- Practice Country
- US
- Practice Phone
- (585) 309-8753
- Enumeration Date
- January 21, 2022
- Last Updated
- July 26, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)