Timothy Johnson, LCSWA, LCAS, CSI is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. He graduated from healthcare school in 2008 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Empowerment Quality Care Services, Llc and his current practice location is
10130 Mallard Creek Rd Ste 300, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(980) 202-1924.
Timothy Johnson is licensed to practice in North Carolina (license number P004704) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689821720.
Healthcare Provider's Profile
| Full Name | Timothy Johnson |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 18 Years |
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| Location | 10130 Mallard Creek Rd Ste 300, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timothy Johnson graduated from medical school in 2008
NPI Data:
- NPI Number: 1689821720
- Provider Enumeration Date: 08/20/2008
- Last Update Date: 05/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 6507300217
- Enrollment ID: I20240703004236
Medical Identifiers
Medical identifiers for Timothy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689821720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-20437 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904015081 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | P004704 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 15889 (South Carolina) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Empowerment Quality Care Services, Llc | 5395144737 | 2 |
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. Timothy Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy Johnson, LCSWA, LCAS, CSI
10130 Mallard Creek Rd Ste 300,
Charlotte, NC 28262-6001
Ph: (980) 253-1924 | Timothy Johnson, LCSWA, LCAS, CSI
10130 Mallard Creek Rd Ste 300,
Charlotte, NC 28262-6001
Ph: (980) 202-1924 |
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