Individual provider Active NPI

Mary Johnson, LCSW

  • Clinical Social Worker
  • Newland, NC
National Provider Identifier
1124360276
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008608 Issued in NC
Practice address
448 Cranberry St
Newland, NC 28657-8800
Phone
(828) 737-0221
NPI assigned
Mar 26, 2013
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C008608 NC Primary
Clinical Social Worker 1041C0700X P006575 NC

Addresses

Primary practice location

448 Cranberry St
Newland, NC 28657-8800

Mailing address

PO Box 1490
Boone, NC 28607-1490

Other practice location 1

240 Highway 105 Ext Ste 100
Boone, NC 28607-4291
Phone (828) 264-7311

Other practice location 2

1925 N Bridge St Ste 101
Elkin, NC 28621-2105
Phone (336) 835-7337

Other practice location 3

301 E Meeting St
Morganton, NC 28655-3593
Phone (828) 608-0800

Other practice location 4

935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 262-3886

Other practice location 5

560 Malcolm Blvd
Connelly Springs, NC 28612-7918
Phone (828) 874-2061

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200428000148 NC Practitioner - Clinical Social Worker 8729418132 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P006575NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Community Health CurrentSince Mar 9, 2020 Accepting new patients
High Country Community Health CurrentSince Mar 9, 2020 Accepting new patients
High Country Community Health CurrentSince Mar 9, 2020 Accepting new patients

Locations

160 Den-Mac Dr
Boone, NC 28607
Phone (828) 262-3886

240 Highway 105 Ext
Ste 100
Boone, NC 28607
Phone (828) 264-7311

935 State Farm Rd
Boone, NC 28607
Phone (828) 262-3886

560 Malcolm Blvd
Connelly Springs, NC 28612
Phone (828) 437-7702

1925 N Bridge St
#101
Elkin, NC 28621
Phone (336) 835-5330

448 Cranberry St
Newland, NC 28657
Phone (828) 737-0221

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJEBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1124360276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 CRANBERRY ST",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "286578800",
            "telephone_number": "828-737-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Highway 105 Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074291",
            "country_code": "US",
            "telephone_number": "828-264-7311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 N Bridge St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Elkin",
            "state": "NC",
            "postal_code": "286212105",
            "country_code": "US",
            "telephone_number": "336-835-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Meeting St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553593",
            "country_code": "US",
            "telephone_number": "828-608-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 State Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074948",
            "country_code": "US",
            "telephone_number": "828-262-3886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Malcolm Blvd",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286127918",
            "country_code": "US",
            "telephone_number": "828-874-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008608",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newland, NC

Sources for this page

Verify at the official NPI Registry.