Caitlin M Johnson, LICSW
Social Worker, Clinical in Romney, WV. Individual provider (NPI-1).
NPI number1164078465
StatusActive
Last updated in NPPESJan 24, 2025
Details
- NPI
- 1164078465
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Caitlin M Johnson
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2019
- Certification date
- Jan 24, 2025
- Last updated
- Jan 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904017629 | VA | Yes |
| 1041C0700X | Social Worker, Clinical | DP00945512 | WV |
Other names
- Caitlin Brown (Former Name)
Practice location
195 W Gravel LnRomney, WV 26757-1711
Phone 304-449-6498
Mailing address
195 W Gravel LnRomney, WV 26757-1711
Phone 304-449-6498
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