Individual provider · Type 1 NPI

Marina Gordula Johnson, LCSW

Clinical Social Worker · Fayetteville, NC

NPI number 1134568801 Active

Practice location

2005 Hope Mills Rd
Fayetteville, NC 28304-4224

Fax (910) 491-3884

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC009623 (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…

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About NPI 1134568801

Marina Gordula Johnson, LCSW's National Provider Identifier is 1134568801, issued on Jun 17, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 14, 2020.