Individual ProviderMegan JohnsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address125 Crestridge St, Fort Collins, CO 80525-3934(970) 494-9761PECOS EnrollmentBased on the most recent information from CMS, provider Megan Johnson is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1104252329Provider TypeIndividualFull NameJohnson, MeganCredentialLCSW, CAC IIIGenderFemaleSole ProprietorNoEnumeration Date9/19/2013Last Updated12/9/2014Contact InformationPractice LocationPractice Address125 Crestridge St, Fort Collins, CO 80525-3934Phone(970) 494-9761FaxUnlisted FaxMailing LocationMailing Address125 Crestridge St, Fort Collins, CO 80525-3934Phone(970) 494-9761Fax(970) 300-3120Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.09923648ColoradoCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseACC.0006368Colorado