Individual
BERNADETTE LEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1650 GREENFIELD ST, WILMINGTON, NC 28401-6456
(910) 798-3500
(910) 798-7834
Mailing address
1650 GREENFIELD ST, WILMINGTON, NC 28401-6456
(910) 798-3500
(910) 798-7834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004869
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13990
BCBS
NC
05
—
6003470
—
NC
Enumeration date
03/20/2007
Last updated
06/30/2020
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