Judith Cavenaugh Johnson, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003988 Issued in NC

Practice address

149 Limestone Rd
Suite 4
Kenansville, NC 28349-9019

Phone

(910) 296-0082

NPI assigned

Jul 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194739359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 LIMESTONE RD",
            "address_2": "SUITE 4",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499019",
            "telephone_number": "910-296-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 LIMESTONE RD",
            "address_2": "SUITE 4",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499019",
            "telephone_number": "910-296-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUDITH",
        "middle_name": "CAVENAUGH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002377",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howell Support Services
• Hunter C. Joh, DDS PA
• Amanda Ward Isbell, CNM
• Sri Lakshmi Jasthy, MD
• Hunter Croom Joh, DDS
• Kenansville Opco LLC
• Ashley Thigpen Kennedy, OTR
• Jade-Anna King, PHARMD
• Jonathan Hargett Kornegay, MD
• Rose Rouse Kornegay, RN

• Clinical Social Worker in Kenansville, NC
• Providers in Kenansville, 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 Jul 8, 2007; 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.