PROF. LAKEYSA MARIE JOHNSON (NPI# 1215201470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215201470 |
| Entity Type | Individual |
| Full Name | PROF. LAKEYSA MARIE JOHNSON |
| Credential | LISW-CP |
| Practice Address |
314a Laurel St Conway SC 29526-5157 |
| Practice Telephone | 8432790172 |
| Practice Fax Number | 8434384386 |
| Mailing Telephone | 8432790172 |
| Mailing Fax Number | 8434384386 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2013-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
0904007841 | VA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7334 | SC | Behavioral Health & Social Service Providers |
| Street Address |
314A LAUREL ST |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-5157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124371448 | Waccamaws Health and Wellness Services LLC | Social Worker | 314a Laurel St, Suite 205, Conway, SC 29526-5157 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518444843 | Face2face Therapy LLC | Social Worker | 603 Harkrider St, Conway, AR 72032-5633 | 2018-07-19 |
| 1396247300 | Lindsey Brooke Mcfarland | Social Worker | 1809 Ambridge Dr, Conway, SC 29527-6270 | 2018-03-06 |
| 1194129726 | Gretchen Davidson | Social Worker | 90 Odell Hill Rd, Conway, NH 03818-4401 | 2014-10-10 |
| 1578837100 | Christianne Hilburn | Social Worker | 1660 Amelia Dr, Conway, AR 72034-3348 | 2012-02-29 |
| 1972899052 | Candace Baker | Social Worker | 2223 Washington Ave Ste C, Conway, AR 72032-2765 | 2011-06-27 |
| 1114233889 | Bambi Marie Parks | Social Worker | 855 South German Lane Suite 3, Conway, AR 72034 | 2010-08-19 |
| 1366691180 | Brandi D Rodgers | Social Worker | 21 Macarthur Dr, Conway, AR 72032-4510 | 2008-09-17 |
| 1952584591 | Angela J Pack | Social Worker | 16 Pinecrest Ct, Conway, AR 72032-8866 | 2007-12-05 |
| 1720284490 | Lee Ann Fortson | Social Worker | 2215 E Oak St, Ste 1, Conway, AR 72032-4644 | 2007-06-21 |
| 1174741482 | Gail Renee Marlowe | Social Worker | 800 Legion St Ste 101e, Conway, SC 29526-4825 | 2007-04-23 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.