Individual provider · Type 1 NPI

Jerome Johnson

Clinical Social Worker · Fayetteville, NC

NPI number 1821367772 Active

Practice location

2300 Ramsey St
Fayetteville, NC 28301-3856

Mailing address

1024 Glen Reilly Dr
Fayetteville, NC 28314-5613

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC007252 (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 1821367772

Jerome Johnson's National Provider Identifier is 1821367772, issued on Dec 22, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Dec 22, 2011.