Lisa Michelle Johnson, LCSWA
Social Worker, Clinical in Statesville, NC. Individual provider (NPI-1).
NPI number1982134698
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982134698
- Entity type
- Individual (NPI-1)
- Name
- Lisa Michelle Johnson
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P010480 | NC | Yes |
Practice location
518 Signal Hill Drive ExtStatesville, NC 28625-4391
Phone 704-873-1114
Mailing address
284 Executive Park DriveSte 100
Concord, NC 28025-1833
Phone 704-939-1100 · Fax 704-939-1173
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All 88 Clinical Social Worker providers in Statesville · All 1,812 providers in Statesville
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