Timothy Johnson, LCSWA, LCAS, CSI is a
Social Worker - Clinical based in Concord, North Carolina. Timothy Johnson is licensed to practice in North Carolina (license number P004704) and his current practice location is
236 Lephillip Court, Suite E, Concord, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 787-6751.
NPI number for Timothy Johnson is 1689821720 and his current mailing address is 3433 Stoney Garden Dr, Charlotte, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689821720.
Healthcare Provider's Profile
| Full Name | Timothy Johnson |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 236 Lephillip Court, Concord, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689821720
- Provider Enumeration Date: 08/20/2008
- Last Update Date: 12/09/2021
Medical Identifiers
Medical identifiers for Timothy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689821720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-20437 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P004704 (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. Timothy Johnson 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 |
|---|
Timothy Johnson, LCSWA, LCAS, CSI
3433 Stoney Garden Dr,
Charlotte, NC 28269-1230
Ph: (980) 253-1924 | Timothy Johnson, LCSWA, LCAS, CSI
236 Lephillip Court, Suite E,
Concord, NC 28025
Ph: (704) 787-6751 |
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