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KOURTNIE JOHNSON LCSWA
NPI 1114633757
Social Worker in Nashville, NC

Active since January 26, 2023PECOS Enrolled
4870 NEWPORT CT, NASHVILLE, NC 27856(617) 528-8966 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kourtnie Johnson Lcswa NPPES

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

KOURTNIE JOHNSON LCSWA (NPI 1114633757) is an individual social worker in Nashville, North Carolina, licensed in North Carolina (P018591) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114633757
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKOURTNIE JOHNSONCredential: LCSWA
Location Address4870 NEWPORT CTNashville, NC 27856-3303
Mailing Address4870 Newport CtNashville, NC 27856-3303 · (617) 528-8966
Phone(617) 528-8966
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1114633757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in NC · P018591✔ Licensed in MA · 227061
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.
4870 NEWPORT CT, Nashville, NC 27856
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kourtnie Johnson Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567954209
PECOS Enrollment IDI20251120003221
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.

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 Kourtnie Johnson's NPI number?

The NPI number for Kourtnie Johnson is 1114633757. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Kourtnie Johnson located?

Kourtnie Johnson practices at 4870 Newport Ct, Nashville, NC 27856. The listed phone number is (617) 528-8966.

What is Kourtnie Johnson's specialty?

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

Is Kourtnie Johnson enrolled in Medicare?

Yes. Kourtnie Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kourtnie Johnson was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.