Individual ProviderAlastair JohnsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address300 E Horsetooth Rd Ste 200, Fort Collins, CO 80525-3154(970) 402-4472PECOS EnrollmentBased on the most recent information from CMS, provider Alastair 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 ID1730733551Provider TypeIndividualFull NameJohnson, AlastairTitleMr.CredentialMSW, LCSWGenderMaleSole ProprietorYesEnumeration Date7/30/2019Last Updated7/30/2019Contact InformationPractice LocationPractice Address300 E Horsetooth Rd Ste 200, Fort Collins, CO 80525-3154Phone(970) 402-4472FaxUnlisted FaxMailing LocationMailing Address1115 Romero St, Fort Collins, CO 80524-2547Phone(970) 402-4472FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.00926111Colorado