1720181944 NPI number — SALLY HUGGINS JOHNS LCSW

Table of content: SALLY HUGGINS JOHNS LCSW (NPI 1720181944)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720181944 NPI number — SALLY HUGGINS JOHNS LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNS
Provider First Name:
SALLY
Provider Middle Name:
HUGGINS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUGGINS
Provider Other First Name:
SALLY
Provider Other Middle Name:
JANE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1720181944
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
114 RHETT CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELKTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21921
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-392-9584
Provider Business Mailing Address Fax Number:
410-392-6620

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1601 MILLTOWN RD
Provider Second Line Business Practice Location Address:
STE 8
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19808-4027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-547-7710
Provider Business Practice Location Address Fax Number:
410-392-6620
Provider Enumeration Date:
09/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  Q10000105 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0004412825 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0418724000 . This is a "INDEPENDENCE BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1107826 . This is a "CONNECTICUT GENERAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0001002941 . This is a "MHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1664421 . This is a "AMERI HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2257788 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6214160 . This is a "UHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: A751384 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com