Larry Norman Johannessen in Jacksonville - Social Worker

Larry Norman Johannessen - NPI 1043488703

Larry Norman Johannessen is a Social Worker in Jacksonville, North Carolina. Larry Norman Johannessen practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Larry Norman Johannessen is 1043488703. The last update date is 2008-02-15.

Larry Norman Johannessen's current location address is 825 Gumbranch Rd, Jacksonville, North Carolina. You can contact this provider via phone number 9104555551 and fax number 9109382556. The mailing address for Larry Norman Johannessen is 825 Gumbranch Rd, Jacksonville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Norman Johannessen
Address 825 Gumbranch Rd, Jacksonville, North Carolina
Phone Number 9104555551
Fax Number 9109382556
Sole Proprietor N
Credentials PHD MSW LC

NPI Number Detail

NPI Number 1043488703
Provider Enumeration Date 2008-02-15
Last Updated Date 2008-02-15

Provider Mailing Address Detail

Address 825 Gumbranch Rd
City Jacksonville
State North Carolina (NC)
Post Code 28540
Phone Number 9104555551
Fax Number 9109382556

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No C003820
Definition:
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an

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FAQs about Larry Norman Johannessen

What is the unique provider identifier assigned to Larry Norman Johannessen?

The Larry Norman Johannessen has been issued the NPI (National Provider Identifier) 1043488703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Larry Norman Johannessen's facilities are geographically located?

The facilities of Larry Norman Johannessen are physically situated at the following location: 825 Gumbranch Rd, Jacksonville, NC, 28540.

What is Larry Norman Johannessen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Larry Norman Johannessen's area of specialization is Social Worker, and the corresponding taxonomy code that categorizes this field of practice is 104100000X.

When was the Larry Norman Johannessen's 1043488703 issued?

The Larry Norman Johannessen's 1043488703 was issued on 2008-02-15.

When was the information pertaining to Larry Norman Johannessen most recently updated or revised?

The details related to Larry Norman Johannessen, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-15.

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