| Lisa Michelle Johnson, LCSWA | |
|
518 Signal Hill Drive Ext, Statesville, NC 28625-4391 | |
| (704) 873-1114 | |
| Not Available |
| Full Name | Lisa Michelle Johnson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 518 Signal Hill Drive Ext, Statesville, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982134698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P010480 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Wholehealth Pllc | 6002169539 | 309 |
| Entity Name | Eventus Wholehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Michelle Johnson, LCSWA 284 Executive Park Drive, Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Lisa Michelle Johnson, LCSWA 518 Signal Hill Drive Ext, Statesville, NC 28625-4391 Ph: (704) 873-1114 |
Megann E Grace-sanchez, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 N Carolina Ave, Statesville, NC 28677 Phone: 704-871-0934 | |
Ms. Sue Ann Bingham Brown, MSW, LCSW, PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 276 Old Mocksville Rd Ste 100, Statesville, NC 28625 Phone: 704-317-2931 | |
Katherine Ashe Roethling, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Fern Creek Dr, Statesville, NC 28625 Phone: 704-237-4240 | |
Felix Alberto Colon Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 Turnersburg Hwy, Statesville, NC 28625 Phone: 704-873-1114 | |
Ketwan Kareem Graham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 N Center St, Statesville, NC 28677 Phone: 704-873-3491 | |
Reagan Shae Tanner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 N Carolina Ave, Statesville, NC 28677 Phone: 704-873-1114 | |
Mrs. Brenda K Martin, LCSW MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 127 N Green St, Statesville, NC 28677 Phone: 704-873-7816 Fax: 704-873-7817 |