MEDICARE: TAYLOR JOHNSON MSW, LCSWA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	P011406	NC

General Provider Information

NPI Number	:	1003336793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR JOHNSON MSW, LCSWA

Provider Business Mailing Address
First Line	:	121 S QUEEN ST
Second Line	:
City	:	KINSTON
State	:	NC
Zip	:	28501-4933
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 S QUEEN ST
Second Line	:
City	:	KINSTON
State	:	NC
Zip	:	28501-4933
Country	:	US
Telephone Number	:	919-816-2712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	06/22/2017

Similar Medicare Providers

1578849857 — BRANDY HARRELL LCAS
Practice Location Address:

107 S QUEEN ST
KINSTON, NC
28501-4933

Practice Phone: 252-522-9800
Practice Fax: 252-523-9790

1972550325 — AQILAH TALIB BATTLE MSW, LCSW
Practice Location Address:

107 S QUEEN ST
KINSTON, NC
28501-4933

Practice Phone: 252-522-9800
Practice Fax: 252-523-9790

1831129220 — DR. RICKIE WADE ELLIS M.D.
Practice Location Address:

107 S QUEEN ST
KINSTON, NC
28501-4933

Practice Phone: 252-522-9800
Practice Fax: 252-523-9790

1811134422 — COMPREHENSIVE SOLUTIONS OF NORTH CAROLINA, INC.
Practice Location Address:

121 S QUEEN ST
KINSTON, NC
28501-4933

Practice Phone: 252-523-2600
Practice Fax: 252-523-2609

1639634819 — KINSTON COMMUNITY HEALTH CENTER, INC.
Practice Location Address:

324 N QUEEN ST
KINSTON, NC
28501-4932

Practice Phone: 252-522-9800
Practice Fax: 252-523-9790

1104884998 — DOUGLAS ELRY WATFORD MD
Practice Location Address:

400 GLENWOOD AVE , STE 3
KINSTON, NC
28501

Practice Phone: 252-527-8906
Practice Fax: 252-527-9816

Directions to “ TAYLOR JOHNSON MSW, LCSWA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.