Nichole Lushawn Johnson in Fayetteville - Clinical
Nichole Lushawn Johnson - NPI 1487826848
Nichole Lushawn Johnson is a Clinical in Fayetteville, North Carolina. Nichole Lushawn Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nichole Lushawn Johnson is 1487826848. The last update date is 2018-03-17.
Nichole Lushawn Johnson's current location address is 351 Wagoner Dr Ste 310, Fayetteville, North Carolina. You can contact this provider via phone number 9108492763. The mailing address for Nichole Lushawn Johnson is 351 Wagoner Dr Ste 310, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nichole Lushawn Johnson |
|---|---|
| Address | 351 Wagoner Dr Ste 310, Fayetteville, North Carolina |
| Phone Number | 9108492763 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW, LCAS |
NPI Number Detail
| NPI Number | 1487826848 |
|---|---|
| Provider Enumeration Date | 2008-03-26 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 351 Wagoner Dr Ste 310 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283034674 |
| Phone Number | 9108492763 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C006933 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1487826848 | NC | -- |
Post Comment/ Review Below
What is the Nichole Lushawn Johnson's unique identification number?
The Nichole Lushawn Johnson has been assigned the NPI (National Provider Identifier) Number 1487826848 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Nichole Lushawn Johnson's facilities are situated?
The facilities of Nichole Lushawn Johnson are physically located at the following address: 351 Wagoner Dr Ste 310, Fayetteville, NC, 283034674.
What is the Nichole Lushawn Johnson's area of specialization and corresponding taxonomy classification?
The Nichole Lushawn Johnson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Nichole Lushawn Johnson receive its 1487826848 assignment?
The Nichole Lushawn Johnson was assigned its 1487826848 on 2008-03-26, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Nichole Lushawn Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nichole Lushawn Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.