Oliver James Johnson, PH.D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005934 Issued in NC

Practice address

907 Hay St Ste 201
Fayetteville, NC 28305-5352

Phone

(910) 483-5986

Fax

(910) 483-2876

NPI assigned

Nov 2, 2010

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Better Beginnings Healthcare Solutions,

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1114344892
  NPD

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1073813408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 COOPER RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110823",
            "telephone_number": "910-578-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HAY ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055352",
            "telephone_number": "910-483-5986",
            "fax_number": "910-483-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OLIVER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-2082",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Gordula Johnson, LCSW
• Marva E Johnson, LPC
• Nichole Lushawn Johnson, LCSW, LCAS
• Octavia Armond Johnson, RBT
• Olga Khodakova Johnson, M.D.
• Patricia Evon Johnson
• Precious Lanikka Shardea Johnson
• Raven Johnson
• Rawny Jo Johnson
• Rodney L Johnson, CSAC

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, 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 Mar 9, 2023; 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.