| Mrs Kelly Colleen Johnson, LCSW | |
|
2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 | |
| (919) 437-6627 | |
| (919) 258-2490 |
| Full Name | Mrs Kelly Colleen Johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2530 Meridian Parkway, Durham, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427573476 | NPI | - | NPPES |
| C012146 | Other | NC | STATE LICENSE |
| 1427573476 | Other | NPI TYPE I | |
| 149019599 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.019599 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | C012146 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Colleen Johnson, LCSW 44 Relict Dr, Clayton, NC 27527-6710 Ph: (815) 878-8541 | Mrs Kelly Colleen Johnson, LCSW 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 Ph: (919) 437-6627 |
Miss Nancy Carol Lee, LCSW-P, CMSW, MHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service (122), Durham, NC 27705 Phone: 919-286-0411 Fax: 919-416-5834 | |
Ms. Esther L Swim-wright, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 N Duke Street, Suite 1-b, Durham, NC 27701 Phone: 919-286-3453 Fax: 919-286-7033 | |
Ms. Gwen Elizabeth Madill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service, Durham, NC 27705 Phone: 919-286-0411 | |
Mr. Timothy P Donahoe, LQP, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2670 Durham-chapel Hill Blvd., Durham, NC 27707 Phone: 919-251-9001 Fax: 919-251-9008 | |
Mrs. Caroline Marie Griffin, MSW, LSCW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton Street, Department Of Veterans Affairs Medical Center, Durham, NC 27705 Phone: 919-286-0411 | |
Miss Madeline Hooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2670 Durham Chapel Hill Blvd, Durham, NC 27707 Phone: 919-251-9001 | |
Ms. Erum Agha, PHD, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2310 S Miami Blvd Ste 136, Durham, NC 27703 Phone: 919-401-8261 |