Active NPI
Doneicia Rachelle Johnson, LCSWA
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1902280514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P009683
- Practice address
- 6420 Daybrook Cir
Apt 308
Raleigh, NC 27606-2868 - Phone
- (719) 231-2545
- NPI assigned
- Jul 13, 2015
- Last updated
- Jul 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 | P009683 | NC | Primary |
Addresses
Primary practice location
6420 Daybrook Cir
Apt 308
Raleigh, NC 27606-2868
Mailing address
6420 Daybrook Cir
Apt 308
Raleigh, NC 27606-2868
Phone (719) 231-2545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P009683 | Other | NC | LICENSE CLINICAL SOCIAL WORKER ASSOCIATE NUMBER |
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 |
|---|---|---|---|
| P009683 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1902280514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 DAYBROOK CIR",
"address_2": "APT 308",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062868",
"telephone_number": "719-231-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 DAYBROOK CIR",
"address_2": "APT 308",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062868",
"telephone_number": "719-231-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DONEICIA",
"middle_name": "RACHELLE",
"name_prefix": "Ms.",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P009683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE CLINICAL SOCIAL WORKER ASSOCIATE NUMBER",
"identifier": "P009683",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.