Look up the most recent NPI and PECOS records

Briana Nicole Charlton Johnson

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave Bldg 123, Milwaukee, WI 53295-0001

(414) 915-5948 (414) 384-2000

PECOS Enrollment

This provider is enrolled in PECOS as BRIANA JOHNSON.

Based on the most recent information from CMS, provider Briana Nicole Charlton Johnson is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1851868046
Provider Type
Individual
Full Name
Johnson, Briana Nicole Charlton
Title
Mrs.
Credential
APSW

Gender
Female
Sole Proprietor
No
Enumeration Date
10/26/2018
Last Updated
10/26/2018

Contact Information

Practice Location

5000 W National Ave Bldg 123, Milwaukee, WI 53295-0001

(414) 915-5948

Unlisted Fax

Mailing Location

5000 W National Ave Bldg 123, Milwaukee, WI 53295-0001

(414) 384-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 130448-121 Wisconsin

Briana Nicole Charlton Johnson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gage, Karen Sue

O'Leary, Trisha Lyn

Hardcastle, Eileen Marie

Mcgrew, Kathrine A

Gates, Herman John

Crowl, Colette K

Extendeed Care Center

Derpinghaus, Peter Forbes

Grzywacz, Bridget Rose

Underhill, Kelly Kathleen