Active NPI
Michelle Cassandra Johnson, MSW
- Clinical Social Worker
- Chapel Hill, NC
National Provider Identifier
1073556163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003883
- Practice address
- 1829 E Franklin St
Suite 900B
Chapel Hill, NC 27514-5861 - Phone
- (919) 260-2145
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 | C003883 | NC | Primary |
Addresses
Primary practice location
1829 E Franklin St
Suite 900B
Chapel Hill, NC 27514-5861
Mailing address
109 Center St
Carrboro, NC 27510-1735
Phone (919) 929-5728
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002445 | Medicaid | NC | |
| 129K2 | Other | NC | BCBS |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1073556163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 CENTER ST",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101735",
"telephone_number": "919-929-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 E FRANKLIN ST",
"address_2": "SUITE 900B",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275145861",
"telephone_number": "919-260-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICHELLE",
"middle_name": "CASSANDRA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002445",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "129K2",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.