Active NPI
Lynn Parker Johnson PLLC
- Social Worker
- Wilmington, NC
National Provider Identifier
1912192097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C005324
- Legal business name
- LYNN PARKER JOHNSON PLLC
- Practice address
- 1606 Wellington Ave Ste H
Wilmington, NC 28401-7704 - Phone
- (910) 791-2765
- Fax
- (910) 772-9452
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gladys L Parker Johnson, LCSW
- Title
- Owner
- Phone
- (910) 791-2765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | C005324 | NC | Primary |
Addresses
Primary practice location
1606 Wellington Ave Ste H
Wilmington, NC 28401-7704
Mailing address
1606 Wellington Ave Ste H
Wilmington, NC 28401-7704
Phone (910) 791-2765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106570 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189468800000",
"number": "1912192097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 WELLINGTON AVE STE H",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017704",
"telephone_number": "910-791-2765",
"fax_number": "910-772-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 WELLINGTON AVE STE H",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017704",
"telephone_number": "910-791-2765",
"fax_number": "910-772-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNN PARKER JOHNSON PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A",
"authorized_official_last_name": "PARKER JOHNSON",
"authorized_official_first_name": "GLADYS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-791-2765",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NC",
"license": "C005324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106570",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.