Active NPI
Miranda Monai Johnson
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1457194599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P021102
- Practice address
- 5540 Centerview Dr Ste 200
Raleigh, NC 27606-3386 - Phone
- (336) 860-4525
- NPI assigned
- Jun 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P021102 | NC | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
5540 Centerview Dr Ste 200
Raleigh, NC 27606-3386
Mailing address
910 Mill Ave
High Point, NC 27260-1628
Phone (336) 883-7480
Other practice location 1
910 Mill Ave
High Point, NC 27260-1628
Phone (336) 883-7480
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 |
|---|---|---|---|
| P021102 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1457194599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 MILL AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272601628",
"telephone_number": "336-883-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 CENTERVIEW DR STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276063386",
"telephone_number": "336-860-4525"
}
],
"practiceLocations": [
{
"address_1": "910 Mill Ave",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272601628",
"country_code": "US",
"telephone_number": "336-883-7480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MIRANDA",
"middle_name": "MONAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P021102",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.