Active NPI
Jane Stewart Johnson
- Clinical Social Worker
- High Point, NC
National Provider Identifier
1205268554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P015292
- Practice address
- 1320 N Hamilton St
High Point, NC 27262-2600 - Phone
- (336) 812-9733
- NPI assigned
- Aug 8, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P008261 | NC | |
| Clinical Social Worker | 1041C0700X | P008261 | NC | |
| Clinical Social Worker | 1041C0700X | P015292 | NC | Primary |
Addresses
Primary practice location
1320 N Hamilton St
High Point, NC 27262-2600
Mailing address
1320 N Hamilton St
High Point, NC 27262-2600
Phone (336) 812-9733
Other names 1
- Jane Melinda Stewart
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P008261 | NC | MD | Mental Health Counselor |
| P015292 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Youth Advocate Program | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Columbia, SC
- NPI 1477991941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1205268554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 N HAMILTON ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272622600",
"telephone_number": "336-812-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N HAMILTON ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272622600",
"telephone_number": "336-812-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JANE",
"middle_name": "STEWART",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P008261",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008261",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P015292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "STEWART",
"middle_name": "MELINDA",
"credential": "LCSWA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.