Carolyn Danielle Johnson | Windsor, CT • PECOS Search

Carolyn Danielle Johnson

Social Worker

Behavioral Health & Social Service Providers

2 Waterside Xing, Windsor, CT 06095-1587

(860) 697-3378 (860) 966-7022

PECOS Enrollment

Based on the most recent information from CMS, provider Carolyn Danielle 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 2 days ago.

Profile Details

Provider ID
1992557128
Provider Type
Individual
Full Name
Johnson, Carolyn Danielle
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
4/2/2024
Last Updated
4/2/2024

Contact Information

Practice Location

2 Waterside Xing, Windsor, CT 06095-1587

Unlisted Fax

Mailing Location

469 Center St, Manchester, CT 06040-3937

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 7921 Connecticut