ANNIE R JOHNSON LCADC NPI 1558016055

NPI Information

  • NPI: 1558016055
  • Provider Name: ANNIE R JOHNSON, LCADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 300 S 12TH ST
    NEWARK, NJ
    ZIP 07103
  • Phone: (973) 622-4934

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NPI Details

Annie R Johnson, LCADC is an addiction (substance use disorder) counselor in Newark, NJ. Annie R Johnson, LCADC NPI is 1558016055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 S 12TH ST
NEWARK, NJ
ZIP 07103-960
Phone: (973) 622-4934
Fax: (973) 622-5820

The enumeration date for this NPI number is 2/14/2022 and was last updated on 2/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)37LCOOO63500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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