Provider Demographics
NPI:1821294232
Name:JOHNSON, ERIN MACSENE (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MACSENE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MACSENE
Other - Last Name:LAUGHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1089 DELANCY DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-9706
Mailing Address - Country:US
Mailing Address - Phone:910-689-5777
Mailing Address - Fax:
Practice Address - Street 1:1089 DELANCY DR
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-9706
Practice Address - Country:US
Practice Address - Phone:910-689-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0070181041C0700X
225400000X
NCC0090281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner