Comatha B Johnson, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3153334 Issued in NC

Practice address

1705 N Berkeley Blvd
Goldsboro, NC 27534-3305

Phone

(919) 751-0277

Fax

(919) 751-0278

NPI assigned

Feb 26, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Triangle Comprehensive Health Services

  • Community/Behavioral Health Agency
  • Goldsboro, NC
  • NPI 1720272560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1023287877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N BERKELEY BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275343305",
            "telephone_number": "919-751-0277",
            "fax_number": "919-751-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N BERKELEY BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275343305",
            "telephone_number": "919-751-0277",
            "fax_number": "919-751-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COMATHA",
        "middle_name": "B",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "3153334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nashmy Osmayra Jimenez Valente
• Shannon R. Jimenez, D.O.
• Carol S. Johnson-Sessions, RD
• Ashley Johnson
• Carolyn T Johnson, PT
• Deborah Ann Johnson, WHNP
• Demoris Johnson, LPN
• Elbert L Johnson, D.D.S, M.P.H., P.A.
• Erica Willis Johnson, PA-C
• Kathryn Ann Johnson, F.N.P.

• Clinical Social Worker in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.