Willis Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021892 Issued in NC

Practice address

815 Dalewood Dr
Raleigh, NC 27610-1000

Phone

(919) 670-7895

NPI assigned

Feb 2, 2026

Last updated

Mar 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1407706054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 DALEWOOD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101000",
            "telephone_number": "919-670-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 DALEWOOD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101000",
            "telephone_number": "919-670-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tykeena Lee Johnson
• Valencia Meshay Johnson
• Victoria N Johnson, CD(DONA)
• Whitney Brooke Johnson, LPC
• William Carlyle Johnson, PH.D.
• Johnsons Family Pharmacy, LLC
• Christina Helena Johnston, PTA
• Meryl Ryan Johnston, RN, MSN, FNP-C
• Jamiere Joiner
• Logan Wilkie Joines

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 6, 2026; 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.