Active NPI
Johnny Johnson Jr., LCSW
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1841517646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006854
- Practice address
- 1552 Union Rd
Suite E
Gastonia, NC 28054-5523 - Phone
- (704) 833-0154
- NPI assigned
- May 3, 2010
- Last updated
- Apr 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006854 | NC | Primary |
Addresses
Primary practice location
1552 Union Rd
Suite E
Gastonia, NC 28054-5523
Mailing address
15627 Normans Landing Dr
Charlotte, NC 28273-7126
Phone (980) 395-7001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007680 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C006854 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Advocacy Network, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Personal Care Attendant
- Charlotte, NC
- NPI 1033517925
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1154440931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1841517646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15627 NORMANS LANDING DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282737126",
"telephone_number": "980-395-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1552 UNION RD",
"address_2": "SUITE E",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545523",
"telephone_number": "704-833-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOHNNY",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007680",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.