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

Mr. Malcolm Campbell Johnson Jr., LCSW, LCAS, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790806727

Mr. Malcolm Campbell Johnson Jr., LCSW, LCAS, CCS is an Addiction (Substance Use Disorder) Counselor in Concord, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1580 Dartmoor Ave NW
Concord, NC 28027
Phone: (704) 425-8782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 835 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C003566 (NC)

Record details

NPI number1790806727
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LCAS , CCS
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESSeptember 11, 2025

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