Individual provider · Type 1 NPI

Melissa Ann Johnson, LCSW, LCAS, CCS

Clinical Social Worker · Clemmons, NC

NPI number 1215113162 Active

Practice location

2554 Lewisville Clemmons Rd Ste 112
Clemmons, NC 27012-9927

Fax (336) 776-0091

Mailing address

PO Box 1417
Clemmons, NC 27012-1417

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCCS-20157 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS 3167 (NC)
Clinical Social Worker Primary 1041C0700XC008895 (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 1215113162

Melissa Ann Johnson, LCSW, LCAS, CCS's National Provider Identifier is 1215113162, issued on Jan 10, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clemmons, NC. The record was last updated on Jul 13, 2022.