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 |
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Address | 2511 Applegate Dr, Concord, North Carolina |
Phone Number | 7047966518 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1578658381 |
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Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2010-04-16 |
Provider Mailing Address Detail
Address | 2511 Applegate Dr |
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City | Concord |
State | North Carolina (NC) |
Post Code | 280278404 |
Phone Number | 7047966518 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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 |
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6106128 | NC | -- |
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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.
NPI Number: 1225033541
Address: 261 Old York Rd, Jenkintown, PA