Individual provider · Type 1 NPI
Dominic Dwayne Johnson
Community Health Worker · Carbondale, IL
Practice location
300 W Oak St
Carbondale, IL 62901-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker Primary | 172V00000X | None listed |
Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…
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About NPI 1104618529
Dominic Dwayne Johnson's National Provider Identifier is 1104618529, issued on May 21, 2025. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Carbondale, IL. The record was last updated on May 21, 2025.