Individual provider · Type 1 NPI
Shanta Johnson, LCSW
Clinical Social Worker · Creedmoor, NC
Practice location
1195 Shining Water Ln
Creedmoor, NC 27522-7243
Mailing address
PO Box 903
Creedmoor, NC 27522-0903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW125798 (MA) |
| Clinical Social Worker Primary | 1041C0700X | C008341 (NC) |
Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Another provider at this address
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About NPI 1023569613
Shanta Johnson, LCSW's National Provider Identifier is 1023569613, issued on Oct 18, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Creedmoor, NC. The record was last updated on Jun 16, 2025.