NICHOLE LUSHAWN JOHNSON


Address: 351 Wagoner Dr Ste 310, Fayetteville, NC 28303-4674
Phone: 9108492763

NICHOLE LUSHAWN JOHNSON (NPI# 1487826848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487826848
Entity Type Individual
Full Name NICHOLE LUSHAWN JOHNSON
Credential LCSW, LCAS
Practice Address 351 Wagoner Dr Ste 310
Fayetteville
NC 28303-4674
Mailing Address Po Box 25238
Fayetteville
NC 28314-5003
Practice Telephone 9108492763
Enumeration Date 2008-03-26
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
C006933 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 1487826848 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8612 Silver Falls Way, Charlotte, NC 282276675 7047714802

Other Providers NICHOLE JOHNSON

NPI Name Taxonomy Address Enumeration
1720437411 Nichole Johnson Nurse Practitioner 2200 Childrens Way # Way7, Nashville, TN 37232-0005 2016-06-03
1962789578 Nichole Marie Johnson Doula 1301 Spruce Ave, Longmont, CO 80501-5837 2011-11-10
1457515355 Nichole Stachewicz Johnson Dentist 4206 E Lake Rd, Erie, PA 16511-1357 2008-07-10
1639266414 Nichole Rene' Johnson Dietitian, Registered 2 E. Main Street, Shawnee, OK 74801 2006-10-05
1730653395 Nichole Johnson Licensed Practical Nurse 3622 Belmont Ave Ste 21, Youngstown, OH 44505-1444 2019-01-17
1548768401 Nichole M Johnson Counselor 200 E 3rd St, Jamestown, NY 14701-5433 2018-01-25
1700304672 Nichole Leshawn Johnson Rehabilitation Practitioner 555 Hospital Ln, Susanville, CA 96130-4808 2017-08-31
1790137834 Nichole Johnson Speech-Language Pathologist 610 Lincoln St, Centerville, SD 57014-2040 2016-07-12
1528430485 Nichole Johnson Marriage & Family Therapist 125 Corporate Pl, Vallejo, CA 94590-6968 2015-10-30
1699163253 Nichole Johnson Nurse Practitioner 2400 W 49th St, Sioux Falls, SD 57105-6581 2015-01-06

Office Location

Street Address 351 WAGONER DR STE 310
City FAYETTEVILLE
State NC
Zip Code 28303-4674

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801404496 Matthew Pace Physician Assistant Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 2020-07-20
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1932746229 Julie Harriss Specialist/Technologist Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 2019-12-05
1235780354 Helen Delores Johnson Technician 261 Pierron Dr, Fayetteville, NC 28303 2019-09-20
1922655075 Andrea Margaret Hutnam Technician 714 Shortridge Rd, Fayetteville, NC 28303 2019-08-23
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1780148957 Brian K Cox Sr. Occupational Therapy Assistant 5300 Ramsey St, Fayetteville, NC 28303 2019-01-22
1730670902 Michael Sadtler Counselor 804 Stamper Rd Ste 101, Fayetteville, NC 28303 2018-05-23
1104320399 Tia Porterfield Counselor 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 2018-03-21
1154835577 Jessica Bass Bosworth Psychologist 3415 Youngstown Dr, Fayetteville, NC 28303 2017-11-21
Find all providers in zip 28303

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700484201 Torrie Luciana Powell Social Worker 3526 Standard Dr, Fayetteville, NC 28306-8089 2020-10-15
1053918169 Activelife Counseling, LLC Social Worker 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 2020-10-02
1861004996 Roderick Eugene Brown Jr. Social Worker 2014 Litho Pl Ste 200, Fayetteville, NC 28304-2518 2020-08-19
1427667278 Valerie Russell Social Worker 6209 Lakehaven Dr, Fayetteville, NC 28304-0610 2020-07-28
1942822671 Alexis Oneal Vestal Social Worker 723 Athens Ave, Fayetteville, NC 28301-4800 2020-05-15
1346862281 Heather Marie Sroka Social Worker 690 N Reilly Rd # F, Fayetteville, NC 28303-5724 2020-05-14
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1730716887 Denise Rodriguez Social Worker 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 2020-03-26
1982239877 Alicia Story Social Worker 3035 Boone Trail Ext, Fayetteville, NC 28304-3992 2020-03-11
1053959619 Benlyd Colon Social Worker 2940 Breezewood Ave Ste 101-201, Fayetteville, NC 28303-5520 2019-12-13
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28303

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Dataset Information

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.

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