IndividualActive
Michael Johnson, MSW
NPI 1588640700 · Addiction Psychiatry Physician · Beckley, WV
Provider details
- NPI number
- 1588640700
- Entity type
- Individual
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- DP00939097 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
28 Mallard Ct
Beckley, WV 25801-3664
Phone: (304) 252-8409
Fax: (304) 252-0022
Approximate (ZIP-level) locationGet directions
Mailing address
252 Rural Acres Dr
Beckley, WV 25801-3503
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2025-01-09
- Certified
- 2024-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.