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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1689821720

Timothy Johnson, LCSWA, LCAS, CSI is a Clinical Social Worker in Charlotte, North Carolina. Qualified in 2008, 18 years ago. Practices with Empowerment Quality Care Services, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina, South Carolina and Virginia.

Years since qualifying
18
Licensed in
NC, SC, VA
In the registry since
2008
Specialties on file
4
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Practice location Address checks out

10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone: (980) 202-1924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P004704 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-20437 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904015081 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15889 (SC)

Record details

NPI number1689821720
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA , LCAS , CSI
Sole proprietorNo
NPI enumeratedAugust 20, 2008
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Empowerment Quality Care Services, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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