MEDICARE: KATHERINE J JOHNSON L.C.S.W

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	C000564	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60321	OTHER	NC	BCBS PIN

General Provider Information

NPI Number	:	1982728150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE J JOHNSON L.C.S.W

Provider Business Mailing Address
First Line	:	1318 BROAD ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-3533
Country	:	US
Telephone Number	:	919-286-3339
Fax Number	:

Provider Business Practice Location Address
First Line	:	1318 BROAD ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-3533
Country	:	US
Telephone Number	:	919-286-3339
Fax Number	:

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

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1619845286 — LORI NICOLAYSEN
Practice Location Address:

1316 BROAD ST
DURHAM, NC
27705-3533

Practice Phone: 919-885-6366
Practice Fax:

1063371961 — VISTA COUNSELING PLLC
Practice Location Address:

1316 BROAD ST
DURHAM, NC
27705-3533

Practice Phone: 919-885-6366
Practice Fax:

1487604765 — JENNIFER K. YOUNGSTROM PH.D
Practice Location Address:

1316 BROAD ST
DURHAM, NC
27705-3533

Practice Phone: 216-410-5711
Practice Fax:

1023055175 — NERINE E. TATHAM M.D.
Practice Location Address:

1318 BROAD ST
DURHAM, NC
27705-3533

Practice Phone: 919-272-5417
Practice Fax:

1720206931 — BETH SHULMAN MS, LPC
Practice Location Address:

1312 BROAD ST
DURHAM, NC
27705-3533

Practice Phone: 919-699-6508
Practice Fax:

1619187366 — MS. DIANE ELIZABETH MEGLIN MSW
Practice Location Address:

1318 BROAD ST
DURHAM, NC
27705-3533

Practice Phone: 919-949-9700
Practice Fax:

Directions to “ KATHERINE J JOHNSON L.C.S.W” 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.