WANDA JOHNSON (NPI# 1134305501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134305501 |
| Entity Type | Individual |
| Full Name | WANDA JOHNSON |
| Credential | LCSW |
| Practice Address |
91 Camden Street Suite 206 Rockland ME 04841 |
| Practice Telephone | 2075946699 |
| Mailing Telephone | 2075946699 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2012-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC9867 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890903 | Wanda Johnson | Counselor | 3411 Eleanor Cir, Alexandria, LA 71302-5617 | 2017-09-18 |
| 1467827766 | Wanda Johnson | Social Worker | 201 Johnson Loop A, Natchitoches, LA 71457 | 2015-12-11 |
| 1598160509 | Wanda Lee Johnson | Registered Nurse | 4866 Persimmon Bend Ln, Black Jack, MO 63033-4568 | 2014-11-03 |
| 1699010942 | Wanda Sue Johnson | Occupational Therapist | 16292 Porterfield Hwy, Abingdon, VA 24210-8474 | 2012-11-27 |
| 1942565775 | Wanda Denise Johnson | Specialist | 2040 Bruckner Blvd Apt 9e, Bronx, NY 10473-1931 | 2012-07-09 |
| 1497033765 | Wanda Leslie Johnson | Home Health Aide | 100 N Edge Dr, South Hill, VA 23970-1233 | 2011-08-03 |
| 1649819129 | Wanda Breshae Johnson | Day Training/Habilitation Specialist | 506 Manchester Expy Ste A13, Columbus, GA 31904-6483 | 2019-12-31 |
| 1740770577 | Wanda Johnson | Case Manager/Care Coordinator | 1818 W 3rd St, Dayton, OH 45417-2537 | 2018-05-17 |
| 1689086555 | Wanda Sue Johnson | Counselor | 911 N Buffalo Dr, Suite 213, Las Vegas, NV 89128-0379 | 2014-05-28 |
| 1407148430 | Wanda M Johnson | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2011-05-10 |
| Street Address |
91 CAMDEN STREET SUITE 206 |
| City | ROCKLAND |
| State | ME |
| Zip Code | 04841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780102871 | Rockland Medical Supplies | Durable Medical Equipment & Medical Supplies | 235 Camden St Ste 32 #182, Rockland, ME 04841 | 2017-09-08 |
| 1972927747 | Maryann B. Guernsey | Social Worker | 75 Mechanic St Ste 206e, Rockland, ME 04841 | 2014-02-13 |
| 1235467580 | Arvind Patel | Family Medicine | 166 New County Rd, Rockland, ME 04841 | 2009-11-25 |
| 1336356351 | Lynn T. Lackoff | Occupational Therapist | 116 Tillson Avenue, Knox County Cds, Rockland, ME 04841 | 2007-05-17 |
| 1326250812 | Susan C. Righthand | Psychologist | 120 Tillson Ave., Rockland, ME 04841 | 2007-05-04 |
| 1043437981 | Scott D Archer | Pharmacist | 28 Park St., Rockland, ME 04841 | 2007-04-20 |
| 1770642175 | William Vincent Coppola | Optometrist | 20 Oak St., Rockland, ME 04841 | 2006-12-08 |
| 1407936669 | Mary-ellen Ostherr | Counselor | 17 Masonic Street, Rockland, ME 04841 | 2006-10-16 |
| 1053330910 | David Arthur Theriault | Dentist | 19 Summer Street, Rockland, ME 04841 | 2006-07-19 |
| 1578519005 | Shaws Supermarkets Inc | Pharmacy | 235 Camden St, Rockland, ME 04841 | 2006-05-26 |
| Find all providers in zip 04841 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871071266 | Jeanne Deneault, Licsw, LLC | Social Worker | 800 Reservior Park Dr, Rockland, MA 02370-0237 | 2018-07-30 |
| 1972927747 | Maryann B. Guernsey | Social Worker | 75 Mechanic St Ste 206e, Rockland, ME 04841 | 2014-02-13 |
| 1790024347 | Heather J Bryant | Social Worker | 116 Tillson Ave Ste 2, Rockland, ME 04841-3424 | 2013-02-01 |
| 1417225046 | Carrie Bernice Bickford | Social Worker | 166 Cedar St, Rockland, ME 04841-2305 | 2011-12-10 |
| 1427346675 | Dana A Keniston | Social Worker | 91 Camden St Ste 203, Rockland, ME 04841-2421 | 2011-07-20 |
| 1588951727 | Robert M. Gallagher | Social Worker | 7 Millbrook Dr, Rockland, MA 02370-2786 | 2011-07-08 |
| 1821384124 | Cheryl Dury | Social Worker | 328 Main St Ste 208, Rockland, ME 04841-3354 | 2011-06-24 |
| 1255669347 | Jacqueline Elizabeth Tieso | Social Worker | 455 Webster St, Rockland, MA 02370-1250 | 2009-12-01 |
| 1487809125 | Lisa Harriman | Social Worker | 692 Market St, Rockland, MA 02370-1353 | 2008-11-21 |
| 1710170915 | Annie G Kiermaier | Social Worker | 272 Park St, Rockland, ME 04841-2125 | 2007-08-21 |
| Find all providers in ROCKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.