MR. WALTER SIR ANTHONY JOHNSON III (NPI# 1477047561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477047561 |
| Entity Type | Individual |
| Full Name | MR. WALTER SIR ANTHONY JOHNSON III |
| Credential | MSW |
| Practice Address |
130 Carbonton Rd Sanford NC 27330-4009 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 9197746521 |
| Practice Fax Number | 9197766179 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
P012728 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919282 | Walter Kip Johnson | Family Medicine | 23532 Mountain Breeze Dr, Murrieta, CA 92562-5037 | 2009-10-16 |
| 1861020109 | Walter Johnson Jr. | Student in an Organized Health Care Education/Training Program | 800 Rose St, Lexington, KY 40536-0001 | 2020-03-31 |
| 1538707955 | Walter Johnson | Chiropractor | 76 Tabb Dr, Munford, TN 38058-8611 | 2019-12-16 |
| 1750757332 | Walter Simon Johnson | Counselor | 1417 Battlefield Blvd N, Suite 260, Chesapeake, VA 23320-4516 | 2015-08-18 |
| 1538466321 | Walter Erin Johnson | Nurse Anesthetist, Certified Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2011-02-14 |
| 1184763567 | Walter W Johnson Jr. | Dentist | 4525 Spring Hill Dr, Schnecksville, PA 18078-2546 | 2007-02-05 |
| 1154468049 | Walter A Johnson | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-01-31 |
| 1710075957 | Walter Johnson IIi | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2006-10-11 |
| 1346358934 | Walter A Johnson | Counselor | 700 N Westhaven Dr, Oshkosh, WI 54904 | 2006-08-25 |
| 1871503607 | Walter G Johnson | Internal Medicine | 150 N Sykes Creek Pkwy, # 300, Merritt Island, FL 32953-3488 | 2006-08-08 |
| Street Address |
130 CARBONTON RD |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720017122 | John G. Wagnitz | Psychiatry & Neurology | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2006-06-30 |
| 1194335224 | Teresa Lorraine Fuller | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-08-04 |
| 1821608258 | Katharine Marie Hargreaves | Counselor | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-07-31 |
| 1295374569 | Crystal Alene Waddell | Social Worker | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-01-03 |
| 1861035594 | Theresa Gloria King | Social Worker | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2019-10-25 |
| 1194367193 | Tonya Lee Combs | Counselor | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2019-10-10 |
| 1144873738 | Krysta Leeamber Sink | Social Worker | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2019-07-22 |
| 1568026813 | Gwen Clayton Byrd | Licensed Practical Nurse | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2019-04-23 |
| 1346700416 | Blair Ashley Somerville | Counselor | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2019-03-23 |
| 1205393063 | Samuel Lee Parker | Counselor | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2019-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| 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 |
|---|---|---|---|---|
| 1013516251 | Meaningful Minds Counseling | Social Worker | 151 N Steele St, Sanford, NC 27330-3966 | 2020-10-20 |
| 1205446614 | Trysha Renae-mychelle Mazzola | Social Worker | 909 Merchants Ct, Sanford, NC 27330-7439 | 2020-08-01 |
| 1225691793 | Elizabeth Ann Knowlton | Social Worker | 118 Lakeside Cir, Sanford, FL 32773-5670 | 2019-04-19 |
| 1922582857 | Michelle Lynn Rodriguez | Social Worker | 833 Willner Cir, Sanford, FL 32771-4810 | 2018-09-17 |
| 1710472113 | Jessica Leanne Isbell | Social Worker | 2609 Pebblebrook Dr, Sanford, NC 27330-9360 | 2018-06-27 |
| 1932607546 | Pernell Bush | Social Worker | 1211 S Mellonville Ave, Sanford, FL 32771-2240 | 2018-01-29 |
| 1922554369 | Stephanie Morrow | Social Worker | 308 Grammar Rd, Sanford, ME 04073-6127 | 2016-08-26 |
| 1225426067 | Felicia Boyd | Social Worker | 822 S Horner Blvd, Sanford, NC 27330-5310 | 2015-01-01 |
| 1073938254 | Imani Nia Johnson | Social Worker | 2700 Chippendale Trl, Sanford, NC 27330-9344 | 2014-02-25 |
| 1154750586 | Sandra Clark | Social Worker | 3805 Woodside Dr, Sanford, NC 27332-8110 | 2013-11-06 |
| Find all providers in SANFORD | ||||
Please comment or provide details below to improve the information on MR. WALTER SIR ANTHONY JOHNSON III.
| 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.