Jade Johnson
Social Worker, School in Washington, DC. Individual provider (NPI-1).
NPI number1164079778
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1164079778
- Entity type
- Individual (NPI-1)
- Name
- Jade Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2019
- Certification date
- Aug 8, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | LG50083034 | DC | Yes |
Practice location
1405 Brentwood Pkwy NeWashington, DC 20002-2220
Phone 202-678-2527
Mailing address
3400 Holly Creek Dr Apt 1bLaurel, MD 20724-5960
Phone 240-429-9502
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