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MRS. SHANTA JOHNSON LCSW
NPI 1023569613
Social Worker - Clinical in Creedmoor, NC

Active since October 18, 2016PECOS EnrolledAccepts Medicare Assignment
1195 SHINING WATER LN, CREEDMOOR, NC 27522(984) 209-0303 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Oct 18, 2016 (2 updates tracked since 2016).

About Mrs. Shanta Johnson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANTA JOHNSON LCSW (NPI 1023569613) is an individual clinical provider in Creedmoor, North Carolina, licensed in North Carolina (C008341) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023569613
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHANTA JOHNSONCredential: LCSW
Location Address1195 SHINING WATER LNCreedmoor, NC 27522-7243
Mailing AddressPo Box 903Creedmoor, NC 27522-0903 · (910) 830-0704
Phone(984) 209-0303
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2016
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1023569613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C008341✔ Licensed in MA · LICSW125798
Definition
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.
1195 SHINING WATER LN, Creedmoor, NC 27522
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shanta Johnson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496036220
PECOS Enrollment IDI20170110000555, I20230823002679, I20231018002073
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27522 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REFLECTIVE COUNSELING SERVICES, PLLC
Community/Behavioral Health
1195 SHINING WATER LN
CREEDMOOR, NC 27522
Granville County (984) 209-0303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanta Johnson's NPI number?

The NPI number for Shanta Johnson is 1023569613. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Where is Shanta Johnson located?

Shanta Johnson practices at 1195 Shining Water Ln, Creedmoor, NC 27522. The listed phone number is (984) 209-0303.

What is Shanta Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shanta Johnson enrolled in Medicare?

Yes. Shanta Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shanta Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 5 other insurers list Shanta Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shanta Johnson was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.