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DR. LARRY NORMAN JOHANNESSEN PHD MSW LCSW MDIV
NPI 1043488703
Social Worker in Jacksonville, NC

Active since February 15, 2008
825 GUMBRANCH RD, SUITE 109, JACKSONVILLE, NC 28540(910) 455-5551(910) 938-2556 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry Norman Johannessen Phd Msw Lcsw Mdiv NPPES

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

DR. LARRY NORMAN JOHANNESSEN PHD MSW LCSW MDIV (NPI 1043488703) is an individual social worker in Jacksonville, North Carolina, licensed in North Carolina (C003820) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1043488703
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameDR. LARRY NORMAN JOHANNESSENCredential: PHD MSW LCSW MDIV
Location Address825 GUMBRANCH RD, SUITE 109Jacksonville, NC 28540
Mailing Address825 Gumbranch Rd, Suite 109Jacksonville, NC 28540 · (910) 455-5551 · Fax (910) 938-2556
Phone(910) 455-5551
Fax(910) 938-2556
Sole ProprietorNo
Enumeration DateFebruary 15, 2008
✔ NPI 1043488703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NC · C003820
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
825 GUMBRANCH RD, Jacksonville, NC 28540
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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 Larry Johannessen's NPI number?

The NPI number for Larry Johannessen is 1043488703. It was assigned to this individual provider in the NPPES registry on February 15, 2008.

Where is Larry Johannessen located?

Larry Johannessen practices at 825 Gumbranch Rd Suite 109, Jacksonville, NC 28540. The listed phone number is (910) 455-5551.

What is Larry Johannessen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Larry Johannessen was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.