Kathleen Mcgraw Johnson | Southfield, MI • PECOS Search

Kathleen Mcgraw Johnson

Social Worker

Behavioral Health & Social Service Providers

22800 Golfview Dr, Southfield, MI 48033-6648

PECOS Enrollment

Based on the most recent information from CMS, provider Kathleen Mcgraw Johnson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1710165360
Provider Type
Individual
Full Name
Johnson, Kathleen Mcgraw
Title
Ms.
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/6/2008
Last Updated
2/6/2008

Contact Information

Practice Location

22800 Golfview Dr, Southfield, MI 48033-6648

Unlisted Fax

Mailing Location

22800 Golfview Dr, Southfield, MI 48033-6648

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801014964 Michigan