Imani Nia Johnson, MS, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P007585 Issued in NC

Practice address

2700 Chippendale TRL
Sanford, NC 27330-9344

Phone

(919) 718-7754

NPI assigned

Feb 25, 2014

Last updated

Feb 25, 2014By the provider in NPPES

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Stephens Outreach Center, Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1407977390
  Medicare reassignment NPD
• Faith Springs Eternal (Fase), PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, NC
  • NPI 1528696796

  Clinical

  NPD Authorized official
• Lifesource of North Carolina

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1811286156

  Clinical

  NPD
• Stephens Outreach Center, Inc

  • Addiction Medicine (Family Medicine) Physician
  • Lumberton, NC
  • NPI 1952554388
  NPD
• Lifesource of North Carolina

  • Psychologist
  • Milton, FL
  • NPI 1730648288

  Clinical

  NPD

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1073938254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CHIPPENDALE TRL",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273309344",
            "telephone_number": "919-718-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CHIPPENDALE TRL",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273309344",
            "telephone_number": "919-718-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "IMANI",
        "middle_name": "NIA",
        "name_prefix": "Ms.",
        "credential": "MS, MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathon Richard Jochum, M.D.
• John L Peterson MD
• Brettny John
• Johnson Owens Transportation LLC
• Alivia Nicole Johnson
• May PA Tha Johnson
• Walter Sir Anthony Johnson III, MSW
• Jonathan D. Mosley, DDS, P.a. (Affordable Dentures & Implants - Sanford)
• Sadequa Jones-McQueen, HAIR LOSS SPECIALIST
• Faith Ann Jones, MS, CF-SLP

• Clinical Social Worker in Sanford, NC
• Providers in Sanford, 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 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.