Shontina Johnson Floyd, LCSW, CFSW, C-ASWCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005198 Issued in GA

Practice address

1287 Marks Church Rd Ste 1
Augusta, GA 30909

Phone

(706) 373-0579

Fax

(844) 385-8096

NPI assigned

Sep 6, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Shontina Patryce Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535241600000",
    "number": "1114175841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 MARKS CHURCH RD STE 1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096330",
            "telephone_number": "706-373-0579",
            "fax_number": "844-385-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 MARKS CHURCH RD STE 1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-373-0579",
            "fax_number": "844-385-8096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 AUGUSTA WEST PKWY",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096670",
            "country_code": "US",
            "telephone_number": "706-373-0579",
            "fax_number": "844-385-8096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "SHONTINA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CFSW, C-ASWCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2018-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "SW11594",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHONTINA",
            "last_name": "JOHNSON",
            "middle_name": "PATRYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Brooklyn Flowers, APC
• David Thomas Floyd, M.D.
• Christopher A. Fly, MD
• Mary Gump Fly, ACNP
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• Daniel Fogal, PHARMD
• Sumit Narayanprasad Fogla, M.D

• Clinical Social Worker in Augusta, GA
• Providers in Augusta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.