Pristina Johnson-Etienne in Concord - Clinical

Pristina Johnson-Etienne - NPI 1578658381

Pristina Johnson-Etienne is a Clinical in Concord, North Carolina. Pristina Johnson-Etienne practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pristina Johnson-Etienne is 1578658381. The last update date is 2010-04-16.

Pristina Johnson-Etienne's current location address is 2511 Applegate Dr, Concord, North Carolina. You can contact this provider via phone number 7047966518. The mailing address for Pristina Johnson-Etienne is 2511 Applegate Dr, Concord, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Pristina Johnson-Etienne
Address 2511 Applegate Dr, Concord, North Carolina
Phone Number 7047966518
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1578658381
Provider Enumeration Date 2006-10-04
Last Updated Date 2010-04-16

Provider Mailing Address Detail

Address 2511 Applegate Dr
City Concord
State North Carolina (NC)
Post Code 280278404
Phone Number 7047966518
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C004746
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, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6106128 NC --

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FAQs about Pristina Johnson-Etienne

What is the unique 10-digit identification code issued to Pristina Johnson-Etienne by the Centers for Medicare & Medicaid Services?

The Pristina Johnson-Etienne has been assigned the NPI (National Provider Identifier) 1578658381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Pristina Johnson-Etienne is physically located?

The Pristina Johnson-Etienne is situated at the following address: 2511 Applegate Dr, Concord, NC 280278404.

What is Pristina Johnson-Etienne's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Pristina Johnson-Etienne is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Pristina Johnson-Etienne receive the assignment of its 1578658381 from the Centers for Medicare & Medicaid Services?

The Pristina Johnson-Etienne was issued its 1578658381 by the Centers for Medicare & Medicaid Services on 2006-10-04.

As of what date were the Pristina Johnson-Etienne's details last updated?

The information pertaining to the Pristina Johnson-Etienne, including its address, specialty, and other details, was most recently updated on 2010-04-16.

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