Chandra A Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW001803 Issued in GA

Practice address

3633 Pine Park Rd
Cairo, GA 39828-6823

Phone

(229) 226-6530

NPI assigned

Jan 28, 2009

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)

Enrolled

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1942448097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 N UNIVERSITY DR",
            "address_2": "PMB 206",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717029",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 PINE PARK RD",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398286823",
            "telephone_number": "229-226-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHANDRA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Charlotte Jackson
• James K Hester MD PA
• Jennifer W. Kendrick DMD, LLC (Dental Associates of Southwest Georgia)
• John D. Archbold Memorial Hospital, Inc. (Archbold - Grady Specialty Clinic)
• John D. Archbold Memorial Hospital, Inc. (Grady County Dialysis Facility)
• Guy Johnson III, D.C.
• Kimberely Dawn Johnson, APRN, FNP-C
• Luisa Johnson, APRN
• Shenkia Isadora Johnson, LPN
• Katherine T Kelley, CRNA

• Clinical Social Worker in Cairo, GA
• Providers in Cairo, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.