NPI 1003526823

Martine Patrice Johnson, LMSW

Practitioner Clinical Social Worker Memphis, TN

Practice location

Address: 1030 Jefferson Avenue, Memphis, TN 38104
Phone: (901) 523-8990
Mailing address: 1930 Holly Springs Road, Hernando, MS 38632

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence M10380 (MS)

Other Social Worker providers in Tennessee →

Registry record

NPI: 1003526823
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2022
Record last updated: 2 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.