Shantee Vanessa Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020385 Issued in NC

Practice address

229 Turner Dr
Reidsville, NC 27320-5736

Phone

(336) 349-2233

NPI assigned

Aug 14, 2021

Sex

Female

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

Practice roles

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.

• Voice for Children & Nurturing Families PLLC

  dba Life Synergy

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1336505585
  NPD (past)

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1548935190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 WINBORNE LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102040",
            "telephone_number": "336-898-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 TURNER DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205736",
            "telephone_number": "336-349-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3728 Vest Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032912",
            "country_code": "US",
            "telephone_number": "336-577-8201",
            "fax_number": "336-727-3258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 Westgate Center Cir Ste A",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033056",
            "country_code": "US",
            "telephone_number": "336-577-8201",
            "fax_number": "336-727-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANTEE",
        "middle_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John & Jennerine Enterprise, Inc (Life Turn Community Support)
• John & Jennerine Enterprise, Inc. (Life Turn)
• John & Jennerine Enterprise, Inc. (Life Turn Group Home)
• Dawn Tucker Johnson, LCSW
• Jeff Wayne Johnson, DDS
• Clarence H Jones Jr., D.D.S.
• Erin Ringle Judge, FNP-C
• Lafayette Judkins Sr., D.D.S.
• Julia Brannon PHD & Associates Incorporated
• Cesar Nsumanganyi Kalombo, NP

• Clinical Social Worker in Reidsville, NC
• Providers in Reidsville, 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 Apr 17, 2024; 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.