Johnson, Sharon P
Johnson, Sharon P is an sole proprietor health care provider with primary practice located at 4401 Providence Ln , Winston Salem NC 27106-3226. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Johnson, Sharon P can be contacted via phone (336) 896-1323.Contact Information
Primary practice address
4401 Providence Ln
Winston Salem NC 27106-3226
Phone: (336) 896-1323
Fax: (336) 896-1327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 16481 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | PO11307 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 16481 | North Carolina |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | CO12183 | North Carolina |
Profile Details
| NPI number | 1508008038 |
|---|---|
| LBN Legal business name | Johnson, Sharon P |
| Credentials | LCAS, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2009 |
| Last updated | May 2nd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508008038 | NPPES |
| North Carolina | Other | CO12183 | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
| North Carolina | Other | PO11307 | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
| North Carolina | Other | 16481 | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
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