Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY NORMAN JOHANNESSEN, PHD MSW LCSW MDIV
ActiveDR. LARRY NORMAN JOHANNESSEN, PHD MSW LCSW MDIV is a Social Worker healthcare provider located in JACKSONVILLE, North Carolina. NPI 1043488703 is currently active in the NPPES registry. Verify at CMS.
Social Worker · JACKSONVILLE, NC
Registration Details
- NPI Number
- 1043488703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2008 (18.52837109234 yrs)
- Last Updated
- Feb 15, 2008
- License
-
C003820 (NC)
Practice Information
- Address
-
825 GUMBRANCH RDSUITE 109JACKSONVILLE, NC, 28540Browse NC providers · Browse ZIP 28540
- Phone
- 9104555551
- Fax
- 9109382556
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in JACKSONVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MR. JACK MCFAYDEN | LPC | 1437135910 |
| MRS. SUSAN CONNOR | LCSW | 1255317731 |
| MRS. LAZETTE MICHELLE NALDER | MSW INTERN | 1972949436 |
| MORGAN E PHOEBUS | — | 1063979532 |
| PATRICK DUNCAN | LCSWA | 1396384558 |
| TARA VICTORIA SMITH | — | 1881330777 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.