Nichole Lushawn Johnson, LCSW, LCAS is a
Social Worker - Clinical based in Fayetteville, North Carolina. Nichole Lushawn Johnson is licensed to practice in North Carolina (license number C006933) and her current practice location is
351 Wagoner Dr Ste 310, Fayetteville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 849-2763.
NPI number for Nichole Lushawn Johnson is 1487826848 and her current mailing address is Po Box 25238, Fayetteville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487826848.
Healthcare Provider's Profile
Full Name | Nichole Lushawn Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 351 Wagoner Dr Ste 310, Fayetteville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487826848
- Provider Enumeration Date: 03/26/2008
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Nichole Lushawn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487826848 | NPI | - | NPPES |
1487826848 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | C006933 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Lushawn Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nichole Lushawn Johnson, LCSW, LCAS Po Box 25238, Fayetteville, NC 28314-5003 Ph: () - | Nichole Lushawn Johnson, LCSW, LCAS 351 Wagoner Dr Ste 310, Fayetteville, NC 28303-4674 Ph: (910) 849-2763 |
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