Linda Black Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1523C Issued in AL

Practice address

200 University Blvd
Bryce Hospital
Tuscaloosa, AL 35401-1205

Phone

(205) 759-0799

Fax

(205) 759-0845

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124134366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011205",
            "telephone_number": "205-759-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY BLVD",
            "address_2": "BRYCE HOSPITAL",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011205",
            "telephone_number": "205-759-0799",
            "fax_number": "205-759-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDA",
        "middle_name": "BLACK",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1523C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "51523360",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyne Johnson, LICSW,PIP
• Jamie Devon Johnson, DMD
• Keniece Johnson
• Kloi E Johnson
• Kyle S Johnson, MD
• Sundra Renee Johnson
• Susie Marie Johnson, PHARM D
• Timothy Van Johnson, M.D.
• Tondela Johnson, LMSW
• Daniel Levi Johnston, CRNP

• All providers in Tuscaloosa, AL
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.