MRS. MELISSA ANN JOHNSON LCSW, LCAS, CCS
NPI 1215113162
Social Worker - Clinical in Clemmons, NC

Q: What is Melissa Johnson's NPI number?

The NPI number for Melissa Johnson is 1215113162. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Q: What is Melissa Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Johnson was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 10, 2008PECOS EnrolledAccepts Medicare Assignment

2554 LEWISVILLE CLEMMONS RD STE 112, CLEMMONS, NC 27012(336) 283-2510(336) 776-0091 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2022, Aug 20, 2021, Jun 18, 2019 and 7 more (10 updates tracked since 2017).

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About Mrs. Melissa Ann Johnson Lcsw, Lcas, Ccs NPPES

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

MRS. MELISSA ANN JOHNSON LCSW, LCAS, CCS (NPI 1215113162) is an individual clinical provider in Clemmons, North Carolina, licensed in North Carolina (C008895) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215113162

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. MELISSA ANN JOHNSONCredential: LCSW, LCAS, CCS

Location Address2554 LEWISVILLE CLEMMONS RD STE 112Clemmons, NC 27012-9927

Mailing AddressPo Box 1417Clemmons, NC 27012-1417 · (336) 283-2510 · Fax (336) 776-0091

Phone(336) 283-2510

Fax(336) 776-0091

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 10, 2008

Last NPPES UpdateJuly 13, 202210 updates tracked since enumeration

NPPES CertifiedJuly 13, 2022

✔ NPI 1215113162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C008895

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CCS-20157 (NC), LCAS 3167 (NC)

2554 LEWISVILLE CLEMMONS RD STE 112, Clemmons, NC 27012

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Other Identifiers 1

Medicaid1215113162NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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. Melissa Ann Johnson Lcsw, Lcas, Ccs 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 ID143448506

PECOS Enrollment IDI20140826002077

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 27012 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.

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Other Providers at the Same Location NPPES 7

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

ATHENA NORTON LCSWA

Social Worker (Clinical)