NPI 1104007236

Roberta Johnson, LCSW

Practitioner Clinical Social Worker Ellsworth, ME

Practice location

Address: 204 Water St, Ellsworth, ME 04605-2038
Phone: (207) 667-2061
Mailing address: 28 Neils Cove Ln, Stonington, ME 04681-3034

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LC11261 (ME)

Other Social Worker providers in Maine →

Registry record

NPI: 1104007236
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2007
Record last updated: 16 Nov 2007

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.