Timothy Johnson, LCSWA, LCAS, CSI is a medicare enrolled "Social Worker - Clinical" provider in Concord, North Carolina. His current practice location is
236 Lephillip Court, Suite E, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 787-6751.
Timothy Johnson is licensed to practice in North Carolina (license number P004704) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689821720.
Healthcare Provider's Profile
Full Name | Timothy Johnson |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 236 Lephillip Court, Concord, North Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689821720
- Provider Enumeration Date: 08/20/2008
- Last Update Date: 12/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507300217
- Enrollment ID: I20240703004236
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
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 |
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 |
Reviews and Comments