Yvonne Johnson-Gilbert, LCSW,DCSW,ATODS,CCJS
Individual provider Active NPI Specialist · Canton, NC
NPI 1528097334 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1528097334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 20 Cowboy Way
Canton, NC 28716-9411 - Phone
- (282) 648-8052
- Fax
- (828) 648-8052
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 881871467 | NC | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NC | Yes |
Addresses
Primary practice location
20 Cowboy Way
Canton, NC 28716-9411
Mailing address
PO Box 30
Canton, NC 28716-0030
Phone (828) 648-8052
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88187467 | Other | NC | LCSW,DCSW, ATODS,CCJS. |
| 6002305 | Medicaid | NC |
Other providers in Canton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.