Individual provider Active NPI

Yvonne Johnson-Gilbert, LCSW,DCSW,ATODS,CCJS

  • Specialist
  • Canton, NC
National Provider Identifier
1528097334
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
20 Cowboy Way
Canton, NC 28716-9411
Phone
(282) 648-8052
Fax
(828) 648-8052
NPI assigned
Jul 2, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NC Primary

Addresses

Primary practice location

20 Cowboy Way
Canton, NC 28716-9411

Mailing address

PO Box 30
Canton, NC 28716-0030
Phone (828) 648-8052

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
881871467NCMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528097334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287160030",
            "telephone_number": "828-648-8052",
            "fax_number": "828-648-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COWBOY WAY",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287169411",
            "telephone_number": "282-648-8052",
            "fax_number": "828-648-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-GILBERT",
        "first_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "LCSW,DCSW,ATODS,CCJS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.