Individual provider Active NPI

Sandra Williams Johnson, LCASA AND LCSWA

  • Clinical Social Worker
  • Sanford, NC
National Provider Identifier
1679141097
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018305 Issued in NC
Practice address
111 Favored Ave
Sanford, NC 27330-7132
Phone
(919) 749-0283
NPI assigned
Jun 13, 2021
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23872 NC
Clinical Social Worker 1041C0700X C018305 NC Primary
Clinical Social Worker 1041C0700X 016198 CT

Addresses

Primary practice location

111 Favored Ave
Sanford, NC 27330-7132

Mailing address

111 Favored Ave
Sanford, NC 27330-7132

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

LicenseStateTypeSpecialty
23872NCMDAddiction (Substance Use Disorder) Counselor
016198CTMDClinical Social Worker
C018305NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1679141097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FAVORED AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FAVORED AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307132",
            "telephone_number": "919-749-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS JOHNSON",
        "first_name": "SANDRA",
        "credential": "LCASA AND LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23872",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018305",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "016198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.