Provider Demographics
NPI:1912738402
Name:JOHNSON, CIARA T (LCSWA)
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:T
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2694 SPLITBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-7980
Mailing Address - Country:US
Mailing Address - Phone:336-823-1698
Mailing Address - Fax:336-458-2181
Practice Address - Street 1:2694 SPLITBROOKE DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-7980
Practice Address - Country:US
Practice Address - Phone:336-823-1698
Practice Address - Fax:336-458-2181
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical