Sharon P Johnson, LCAS, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CO12183 Issued in NC

Practice address

4401 Providence LN
Winston Salem, NC 27106-3226

Phone

(336) 896-1323

Fax

(336) 896-1327

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Top Priority Care Services, LLC.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1598959660
  Medicare reassignment NPD Authorized official
• Top Priority Care & Behavioral Services, LLC.

  • Community/Behavioral Health Agency
  • Oxon Hill, MD
  • NPI 1073083283

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Top Priority Care & Behavioral Services, LLC.

  • Community/Behavioral Health Agency
  • Oxon Hill, MD
  • NPI 1326518846
  NPD Authorized official
• Top Priority Care Services,LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1376785857
  NPD (past) Authorized official

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1508008038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PROVIDENCE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063226",
            "telephone_number": "336-896-1323",
            "fax_number": "336-896-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PROVIDENCE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063226",
            "telephone_number": "336-896-1323",
            "fax_number": "336-896-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Pomona Dr Ste M&n",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071665",
            "country_code": "US",
            "telephone_number": "336-294-5611",
            "fax_number": "336-294-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHARON",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCAS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "16481",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO11307",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "16481",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "CO12183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
            "identifier": "CO12183",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
            "identifier": "PO11307",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC SUBSTANCE ABUSE PROFESIONAL PRACTICE BOARD",
            "identifier": "16481",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Johnson, D.M.D.
• Samantha R Johnson, CERTIFIED NURSE ASSI
• Sandy Johnson
• Shamica Lonette Johnson
• Shaniya Octavia Johnson, LMBT
• Sheila Simone Johnson, FNP
• Soren Morgan Johnson, M.D.
• Susan Davis Johnson, LBA
• Tashana Denise Johnson, CRNP
• Taylor Johnson

• Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.