TIMOTHY JOHNSON LCSWA, LCAS, CSI
NPI 1689821720
Social Worker - Clinical in Charlotte, NC

Q: What is Timothy Johnson's NPI number?

The NPI number for Timothy Johnson is 1689821720. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Q: What is Timothy 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 Timothy Johnson was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 20, 2008PECOS EnrolledAccepts Medicare Assignment

10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262(980) 202-1924 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2026, Dec 9, 2021 (2 updates tracked since 2021).

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About Timothy Johnson Lcswa, Lcas, Csi NPPES

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

TIMOTHY JOHNSON LCSWA, LCAS, CSI (NPI 1689821720) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P004704) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1689821720

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameTIMOTHY JOHNSONCredential: LCSWA, LCAS, CSI

Location Address10130 MALLARD CREEK RD STE 300Charlotte, NC 28262-6001

Mailing Address10130 Mallard Creek Rd Ste 300Charlotte, NC 28262-6001 · (980) 253-1924

Phone(980) 202-1924

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 20, 2008

Last NPPES UpdateMay 12, 20262 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1689821720 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

Licenses✔ Licensed in NC · P004704✔ Licensed in VA · 0904015081✔ Licensed in SC · 15889

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 LCAS-20437 (NC)

10130 MALLARD CREEK RD STE 300, Charlotte, NC 28262

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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

Timothy Johnson Lcswa, Lcas, Csi 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 ID6507300217

PECOS Enrollment IDI20240703004236

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 28262 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 20

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

DR. TERRI LYNN TILFORD EDD

Counselor (Professional)