Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kourtnie Johnson, LCSWA

Individual provider Social Worker · NPI 1114633757

Kourtnie Johnson, LCSWA is a Clinical Social Worker in Nashville, North Carolina. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Massachusetts and North Carolina.

Years since qualifying
8
Licensed in
MA, NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4870 Newport Ct
Nashville, NC 27856-3303
Phone: (617) 528-8966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence P018591 (NC)
Social Worker Taxonomy 104100000X · Licence 227061 (MA)

Record details

NPI number1114633757
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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