MR. VICTOR JOHNSON (NPI# 1396104980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396104980 |
| Entity Type | Individual |
| Full Name | MR. VICTOR JOHNSON |
| Credential | LCSW |
| Practice Address |
2817 Reilly Road Womack Army Medical Center Fort Bragg NC 28310 |
| Mailing Address |
2817 Reilly St Womack Army Medical Center Fort Bragg NC 28310-7324 |
| Practice Telephone | 9109078922 |
| Practice Fax Number | 9109076069 |
| Mailing Telephone | 9109078922 |
| Mailing Fax Number | 9109076069 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C009913 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497004873 | Victor L Johnson | Pharmacist | 4571 Oxford Dr, Evans, GA 30809-3843 | 2012-08-31 |
| 1144454471 | Victor Gatismond Johnson | Counselor | 7021 Redmiles Rd, Laurel, MD 20707-3265 | 2009-05-14 |
| 1649454786 | Victor Adegoke Johnson | Secured Medical Transport (VAN) | 8220 W Lynmar Ter, Milwaukee, WI 53222-1937 | 2007-12-26 |
| 1457621179 | Victor William Johnson | Clinical Exercise Physiologist | 777 Bannock St, Mc 0960, Denver, CO 80204-4507 | 2012-01-11 |
| 1033407234 | Victor Lenoid Johnson | Counselor | 2625 N Peoria Ave, Tulsa, OK 74106-2512 | 2011-07-21 |
| 1821235078 | Victor W Johnson I | Counselor | 520 Mercury Dr, Houston, TX 77013-5217 | 2009-01-09 |
| 1598936387 | Victor Ross Johnson | Audiologist | 1965 1st Ave, Opelika, AL 36801-5403 | 2008-03-19 |
| 1386772838 | Victor L. Johnson | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2007-02-28 |
| Street Address |
2817 REILLY ROAD WOMACK ARMY MEDICAL CENTER |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861470114 | Earl Gordon Benson | Physician Assistant | 2817 Reilly Road, Womack Army Medical Center Mcxc Cod Credentials, Fort Bragg, NC 28310 | 2006-01-06 |
| 1255955605 | Elisabeth May Potts | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road, Fort Bragg, NC 28310-7301 | 2020-06-02 |
| 1518590983 | James Ma | Military Health Care Provider | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 | 2020-02-13 |
| 1508406406 | Michelle Worsley | Social Worker | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2020-01-09 |
| 1447897731 | Brandin Moreland | Pharmacist | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 | 2019-12-05 |
| 1194360818 | Christopher A. Legge | Counselor | 2817 Reilly Road, Fort Bragg, NC 28310 | 2019-11-18 |
| 1255976023 | Bryan Richley | Occupational Therapist | 2817 Reilly Road, Fort Bragg, NC 28310 | 2019-11-15 |
| 1558902494 | Sarah Hutchison | Physician Assistant | 2817 Reilly Road, Womack Army Medical Center, Fort Bragg, NC 28310 | 2019-10-02 |
| 1346897303 | Logan Drake Hirsch | Anesthesiology | 2817 Reilly Road, Fort Bragg, NC 28310 | 2019-08-23 |
| 1982251054 | Bernard Lease | Anesthesiology | 2817 Reilly Road, Fort Bragg, NC 28310 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650037 | Tammy M Baca | Social Worker | Womack Army Hospital 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2019-07-08 |
| 1285056432 | Tracy-ann Ruglass | Social Worker | 2817 Reilly St Bldg 4-3219, Fort Bragg, NC 28310-4501 | 2014-01-07 |
| 1538329875 | Michelle Simone Myers | Social Worker | # 2817, Fort Bragg, NC 28310-0001 | 2008-06-10 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1295852242 | Giovanna Pagano | Social Worker | 327 E Redwood Ave Ste D, Fort Bragg, CA 95437-3550 | 2007-03-23 |
| 1518013481 | Randy Celina Mendoza | Social Worker | 32670 Highway 20 Unit 2, Fort Bragg, CA 95437-5708 | 2007-01-25 |
| 1245393362 | Thomas Alan Jarrett | Social Worker | 2817 Reilly Road Mcxs-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-12-19 |
| 1851454201 | Vanessa Mcmillian White | Social Worker | Bravo Company Womack Army Medical Ctr, Fort Bragg, NC 28310-0001 | 2006-12-18 |
| 1164582268 | Roslyn S Satten | Social Worker | 331 A Redwood Ave, Fort Bragg, CA 95437 | 2006-12-11 |
| 1649359001 | Cynthia Lynn Wall | Social Worker | 30077 Simpson Ln, Fort Bragg, CA 95437-7759 | 2006-11-03 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.