Mr Malcolm Campbell Johnson Jr, LCSW, LCAS, CCS is a
Social Worker - Clinical based in Concord, North Carolina. Mr Malcolm Campbell Johnson Jr is licensed to practice in North Carolina (license number C003566) and his current practice location is
1580 Dartmoor Ave Nw, Concord, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 425-8782.
NPI number for Mr Malcolm Campbell Johnson Jr is 1790806727 and his current mailing address is 1580 Dartmoor Ave Nw, Concord, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790806727.
Healthcare Provider's Profile
Full Name | Mr Malcolm Campbell Johnson Jr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1580 Dartmoor Ave Nw, Concord, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790806727
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Malcolm Campbell Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790806727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 835 (North Carolina) | Primary |
1041C0700X | Social Worker - Clinical | C003566 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Malcolm Campbell Johnson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Malcolm Campbell Johnson Jr, LCSW, LCAS, CCS 1580 Dartmoor Ave Nw, Concord, NC 28027 Ph: (704) 425-8782 | Mr Malcolm Campbell Johnson Jr, LCSW, LCAS, CCS 1580 Dartmoor Ave Nw, Concord, NC 28027 Ph: (704) 425-8782 |
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