Gemini Jewel Johnson, MSW, LCSW
Social Worker, Clinical in Elizabeth City, NC. Individual provider (NPI-1).
NPI number1316197031
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1316197031
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Gemini Jewel Johnson
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2008
- Certification date
- Mar 14, 2025
- Last updated
- Mar 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C007128 | NC | Yes |
Practice location
111 S Road StElizabeth City, NC 27909-4355
Phone 252-619-2309
Mailing address
1851 W Ehringhaus St Ste 154Elizabeth City, NC 27909-4555
Phone 252-619-2309 · Fax 833-287-6271
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