Mrs. Correlia D Johnson
Social Worker (Clinical)

Address: Inner Transformation Therapeutic Services, Pllc, 9700 Research Drive, Suite 133, Charlotte, NC 28262-8569
Phone: 9802093222

Mrs. Correlia D Johnson (NPI# 1033490115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1033490115
Entity Type Individual
Full Name Mrs. Correlia D Johnson
Credential LCSW, LCAS, LISW-CP
Gender Female
Practice Address Inner Transformation Therapeutic Services, Pllc
9700 Research Drive, Suite 133
Charlotte
NC 28262-8569
Practice Telephone 9802093222
Practice Fax Number 8448411302
Mailing Address Inner Transformation Therapeutic Services, Pllc
9700 Research Drive, Suite 133
Charlotte
NC 28262-8569
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2011-09-02
Last Update Date 2018-06-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YA0400X Counselor · Addiction (Substance Use Disorder) Behavioral Health & Social Service Providers LCAS-20894 NC
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers C008521 NC
No 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers 11178 SC

Secondary Practice Locations

Address Telephone Number Fax Number
1914 J N Pease Pl, Charlotte, NC 282624504 9802308880
331 E Main St Fl 2, Rock Hill, SC 297305383 9802308880

Physician Overview

NPI 1033490115
PAC ID by PECOS 5294950937
Professional Enrollment ID I20140714000120
Full Name Correlia D Johnson
Organization Legal Name INNER TRANSFORMATION THERAPEUTIC SERVICES
Phone Number 9802308880
Gender F
Graduation Year 2011
Primary Specialty CLINICAL SOCIAL WORKER
Group Practice PAC ID 1658596390
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 100%

Office Location

Street Address INNER TRANSFORMATION THERAPEUTIC SERVICES, PLLC
9700 RESEARCH DRIVE, SUITE 133
City CHARLOTTE
State NC
Zip Code 28262-8569

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437613643 Lakesha S Shingler Counselor 9711 David Taylor Drive, Ste 201, Charlotte, NC 28262 2019-01-22
1104399070 Nattya S Pilgreen Prosthetist 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 2019-01-03
1366937872 Tanika Evette Barber Social Worker 17925 Halton Park Dr Apt 2b, Charlotte, NC 28262 2018-06-27
1720573587 Carolinas Center for Ambulatory Dentistry LLC Dentist 8415 Medical Plaza Drice, Charlotte, NC 28262 2018-06-25
1598254799 Cassandra Faye Harding Nurse Practitioner 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 2018-05-03
1669960746 Michael Riley In Home Supportive Care 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 2018-04-25
1568989804 Bridget Coomber Behavior Technician 8420 University Executive Dr Ste 810, Charlotte, NC 28262 2017-08-28
1073037701 Toshana Daley Physical Therapist 8801 Jm Keynes Blvd, Charlotte, NC 28262 2017-08-03
1588185896 Kelsey Diane Weeden Dietitian, Registered 10400 Mallard Creek Church Road, Suite 340, Charlotte, NC 28262 2017-06-28
1013437540 Deshall's Garden of Life, LLC Assisted Living Facility 415 Berkley Hill Drive, Apt 1314, Charlotte, NC 28262 2017-06-26
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851852230 Qui Vuu Social Worker 8015 Centennial Dr, Charlotte, NC 28213-4214 2019-03-27
1649730656 Barbara Mary Wallace Social Worker 4921 Albemarle Rd Ste 108, Charlotte, NC 28205-6654 2019-03-25
1124587472 Alicia Wilson Social Worker 101 E Wt Harris Blvd Ste 1214, Charlotte, NC 28262-3423 2019-03-17
1740748672 Starting Point, Counseling & Wellness Pllc. Social Worker 1026 Jay St # 38, Charlotte, NC 28208-4431 2019-03-11
1073071494 Lisa Munday Social Worker 4724 Park Rd Ste D, Charlotte, NC 28209-4204 2019-03-05
1174089064 Quality Behavioral Health Services, Pllc Social Worker 9805 Statesville Rd, # 6095, Charlotte, NC 28269 2019-02-15
1336604289 Jeleesha Mcnair Social Worker 2217 Contemporary Pl Apt 5108, Charlotte, NC 28217-6696 2019-02-05
1013481761 Courtney A. Buggs Social Worker 525 N Tryon St Ste 1618, Charlotte, NC 28202-0202 2019-01-16
1073086732 Brandolyn Javis Mcphail Social Worker 2010 Piedmont Hills Pl Apt 4104, Charlotte, NC 28217-6698 2019-01-05
1629540208 Montgomery Group, LLC Social Worker 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 2018-12-20
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Competitor

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City CHARLOTTE
Zip Code 28262

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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