Stephanie R. Johnson, PLCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P006973 Issued in NC

Practice address

1708 S Mebane St
Burlington, NC 27215-6590

Phone

(336) 229-4624

Fax

(336) 570-1351

NPI assigned

Jun 4, 2012

Last updated

Jun 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1750642070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TRACY DR",
            "address_2": "# H",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156147",
            "telephone_number": "843-337-9312",
            "fax_number": "336-570-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 S MEBANE ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156590",
            "telephone_number": "336-229-4624",
            "fax_number": "336-570-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "R.",
        "credential": "PLCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Mitchell Johnson, MD
• Julie Randolph Johnson, FNP
• Lexus Jade Johnson, BCBA, LBA, MS
• Morgan Blair Johnson, PT
• Naomi Johnson, LCAS-A
• Tiffany Jo Johnson, FNP-C
• John D Johnston, MD
• Caitlin Ann Jones, COTA/L
• Caroline Courtney Dyer Jones, LCAS NC #21483
• Caron W Jones, CNM

• Clinical Social Worker in Burlington, NC
• Providers in Burlington, 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 Jun 4, 2012; 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.