Mrs Amy Lynn-smith Johnson, MSW, LCSW | |
581 Executive Pl, Suite 500, Fayetteville, NC 28305-5702 | |
(910) 493-3555 | |
(910) 493-3520 |
Full Name | Mrs Amy Lynn-smith Johnson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 581 Executive Pl, Fayetteville, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720174022 | NPI | - | NPPES |
6106625 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C005604 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
A New Leaf Therapeutic Services, Pllc. | 0345567137 | 3 |
Entity Name | A New Leaf Therapeutic Services, Pllc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710391867 PECOS PAC ID: 0345567137 Enrollment ID: O20150314000360 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amy Lynn-smith Johnson, MSW, LCSW 4948 Grays Creek Church Rd, Hope Mills, NC 28348-7810 Ph: (910) 850-2095 | Mrs Amy Lynn-smith Johnson, MSW, LCSW 581 Executive Pl, Suite 500, Fayetteville, NC 28305-5702 Ph: (910) 493-3555 |
Annie Rasheedah Hasan, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311 Phone: 910-624-6513 Fax: 910-568-5385 | |
Rivette Cole, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Bolla Dr, Fayetteville, NC 28306 Phone: 910-797-6511 Fax: 910-491-1000 | |
Ms. Katherine Patricia Hand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Dick St, Fayetteville, NC 28301 Phone: 910-868-6092 | |
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314 Phone: 910-216-9256 | |
Mazie Ellis, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3605 Camson Rd, Fayetteville, NC 28306 Phone: 910-391-4520 | |
Nicole Turner, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304 Phone: 910-900-8256 | |
Shirley Ann White-snead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Person St, Fayetteville, NC 28301 Phone: 910-438-0939 Fax: 910-438-0942 |