Active NPI
Jourdan Elana Johnson
- Clinical Social Worker
- Salisbury, NC
National Provider Identifier
1023720471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2129 Statesville Blvd
Salisbury, NC 28147-1411 - Phone
- (704) 636-3616
- NPI assigned
- Dec 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2129 Statesville Blvd
Salisbury, NC 28147-1411
Mailing address
8537 Woodhill Manor CT
Charlotte, NC 28215-8315
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jojohnson@daymarkrecovery.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Clinical | Past | Accepting new patients |
Interoperability endpoints
- jourdan.johnson.p1@direct.daymarkrecovery.nextgenshare.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1023720471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8537 WOODHILL MANOR CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282158315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 STATESVILLE BLVD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281471411",
"telephone_number": "704-636-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOURDAN",
"middle_name": "ELANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-16",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jojohnson@daymarkrecovery.org",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2129 Statesville Blvd",
"city": "Salisbury",
"state": "NC",
"country_code": "US",
"postal_code": "281471411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.