Larry Johannessen, PHD MSW LCSW MDIV
NPI 1043488703 · Social Worker · Jacksonville, NC
Larry Johannessen, PHD MSW LCSW MDIV is a Social Worker provider in Jacksonville, NC (NPI 1043488703).
Provider details
- NPI number
- 1043488703
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- PHD MSW LCSW MDIV
- Sex
- Male
- Sole proprietor
- No
- License
- C003820 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-15
- Last updated
- 2008-02-15
Frequently asked questions
- What is Larry Johannessen's NPI number?
- Larry Johannessen's National Provider Identifier (NPI) is 1043488703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Johannessen's specialty?
- Larry Johannessen is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Larry Johannessen located?
- Larry Johannessen's practice location on file with NPPES is 825 Gumbranch Rd, Jacksonville, NC 28540.
- What is Larry Johannessen's phone number?
- The practice phone number listed in the NPPES registry for Larry Johannessen is (910) 455-5551.
- Is Larry Johannessen's NPI active?
- Yes — Larry Johannessen's NPI (1043488703) is active in the NPPES registry as of the last update on 2008-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.