Christina Marie Johnston, BSW, MSW. LCSWA
Individual provider Active NPI Clinical Social Worker · Lumber Bridge, NC
NPI 1982126249 · NPPES record last updated Jul 8, 2017
Key facts
- NPI
- 1982126249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P011791 (NC)
- Practice address
- 162 Schmidt LN
Lumber Bridge, NC 28357-9030 - Phone
- (919) 450-6305
- NPI assigned
- Jul 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P011791 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P011791 | NC | Yes |
Addresses
Primary practice location
162 Schmidt LN
Lumber Bridge, NC 28357-9030
Mailing address
215 Punch Hill Farm Rd
Rougemont, NC 27572-9260
Phone (919) 450-6305
Other providers in Lumber Bridge, NC
- Childrens Treatment Center Inc
- Ayantae Davis
- Lindsey Patricia Delong
- Ashley Franey
- Susan Richey Gaylord
- Katie Lynette Laroche
- Life Solutions
- Sherry Matthews
- Aimee Sue McFadden
- Multicultural Resources Center, Inc.
All providers in Lumber Bridge, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.