MR. MALCOLM CAMPBELL JOHNSON JR. (NPI# 1790806727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790806727 |
| Entity Type | Individual |
| Full Name | MR. MALCOLM CAMPBELL JOHNSON JR. |
| Credential | LCSW, LCAS, CCS |
| Practice Address |
1580 Dartmoor Ave Nw Concord NC 28027 |
| Practice Telephone | 7044258782 |
| Mailing Telephone | 7044258782 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
835 | NC | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
C003566 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841769056 | Malcolm L. Johnson | Acupuncturist | 1 Baltimore Pl Nw Ste 160, Atlanta, GA 30308-2118 | 2018-11-16 |
| 1699111005 | Malcolm Johnson | Emergency Medicine | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-05-13 |
| 1003830316 | Malcolm C Johnson | Emergency Medicine | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2006-07-27 |
| Street Address |
1580 DARTMOOR AVE NW |
| City | CONCORD |
| State | NC |
| Zip Code | 28027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770701880 | Megan Johnson | Counselor | 1580 Dartmoor Ave Nw, Concord, NC 28027-3588 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
| 1811504574 | Kaci Tolen | Counselor | 2085 Solano Way Apt A, Concord, CA 94520-4781 | 2020-09-28 |
| 1407496391 | Amanda J Deprosse | Counselor | 4713 Curletto Dr, Concord, CA 94521-2125 | 2020-01-09 |
| 1093357634 | Virginia Ann Booth | Counselor | 1470 Civic Ct # 100, Concord, CA 94520-5290 | 2019-10-15 |
| 1538726146 | Ashley Halabi | Counselor | 250 Pleasant St Ste 5410, Concord, NH 03301-2598 | 2019-05-20 |
| 1578025383 | A New Pathway LLC | Counselor | 150 Piney Church Rd, Concord, NC 28025-7081 | 2019-04-01 |
| 1730660499 | Christopher Brian Mulcahy | Counselor | 4 Bicentennial Sq Ste 6, Concord, NH 03301-4069 | 2018-08-22 |
| 1235625666 | Elizabeth Pellegrini | Counselor | 90 Airport Rd Ste 17, Concord, NH 03301-5326 | 2018-07-09 |
| 1295249399 | Contra Costa County | Counselor | 2047c Arnold Industrial Way, Concord, CA 94520-5342 | 2017-11-28 |
| 1104362672 | David Swaim | Counselor | 1470 Civic Ct Ste 111, Concord, CA 94520-5290 | 2017-01-09 |
| Find all providers in CONCORD | ||||
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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.