Individual ProviderScott J JohnsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2375 E Tropicana Ave # 144, Las Vegas, NV 89119-6564(312) 315-2537PECOS EnrollmentBased on the most recent information from CMS, provider Scott J Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1467063982Provider TypeIndividualFull NameJohnson, Scott JCredentialLCSWGenderMaleSole ProprietorNoEnumeration Date8/10/2020Last Updated11/9/2023Contact InformationPractice LocationPractice Address2375 E Tropicana Ave # 144, Las Vegas, NV 89119-6564Phone(312) 315-2537FaxUnlisted FaxMailing LocationMailing Address195 Staten Island Ave, Las Vegas, NV 89123-7440Phone(312) 315-2537FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense126917MassachusettsCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer