Mrs Correlia D Johnson, LCSW, LCAS, LISW-CP is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. Her current practice location is
Inner Transformation Therapeutic Services, Pllc, 10130 Perimeter Parkway Suite 200 - #0425, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(980) 230-8880.
Mrs Correlia D Johnson is licensed to practice in North Carolina (license number C008521) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033490115.
Healthcare Provider's Profile
Full Name | Mrs Correlia D Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | Inner Transformation Therapeutic Services, Pllc, Charlotte, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033490115
- Provider Enumeration Date: 09/02/2011
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294950937
- Enrollment ID: I20140714000120
Medical Identifiers
Medical identifiers for Mrs Correlia D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033490115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-20894 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 11178 (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C008521 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Correlia D Johnson allows following entities to bill medicare on her behalf.
Entity Name | Inner Transformation Therapeutic Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619384583 PECOS PAC ID: 1658596390 Enrollment ID: O20140714000096 |
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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. Mrs Correlia D Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Correlia D Johnson, LCSW, LCAS, LISW-CP 10130 Perimeter Parkway Suite 200 - #0425, Charlotte, NC 28216 Ph: (980) 230-8880 | Mrs Correlia D Johnson, LCSW, LCAS, LISW-CP Inner Transformation Therapeutic Services, Pllc, 10130 Perimeter Parkway Suite 200 - #0425, Charlotte, NC 28216 Ph: (980) 230-8880 |
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