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Provider Information for 1891216693


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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NIKOLE JOHNSON LCSW


Other Names:  
Former Name: 
NIKOLE SCHIAVONE MA, CCISM, LMSW

Sex: Female

NPI: 1891216693
Last Updated: 2024-08-27
Certification Date: 2024-08-27

Details

NameValue
NPI1891216693
Enumeration Date2017-06-30
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 88 SUNNYBROOK LN
LILLINGTON, NC 27546-5566
United States

Phone: 910-634-6664 | Fax:
 
Primary Practice Address 88 SUNNYBROOK LN
LILLINGTON, NC 27546-5566
United States

Phone: 910-634-6664 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalCT010536
Yes 1041C0700X - Social Worker - ClinicalNC013655