Janine Marie Johnston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003840 Issued in GA

Practice address

101 Kidspeace Dr
Bowdon, GA 30108-3447

Phone

(770) 437-7200

Fax

(770) 258-9128

NPI assigned

Feb 26, 2008

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Janine Marie Wanke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Highland Rivers Center, CSB

  • Community/Behavioral Health Agency
  • Rome, GA
  • NPI 1881758613
  NPD (past)
• Kidspeace National Centers of Georgia Inc

  • Psychiatric Residential Treatment Facility
  • Bowden, GA
  • NPI 1417029729
  NPD (past)
• Kidspeace National Centers of Georgia, Inc

  • Community/Behavioral Health Agency
  • Bowdon, GA
  • NPI 1275718389
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1407025216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 PAYNES LAKE RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301165732",
            "telephone_number": "404-683-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KIDSPEACE DR",
            "city": "BOWDON",
            "state": "GA",
            "postal_code": "301083447",
            "telephone_number": "770-437-7200",
            "fax_number": "770-258-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JANINE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "WANKE",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leigh Anne Hatten, LMFT MMT
• Tiesha Houston
• Julie Kim Hutcheson
• Ashley H Jackson, PHARMD
• Johnson and Entrekin Pharmacy LLC (Johnson Pharmacy)
• Kidspeace National Centers of Georgia, Inc
• Brittany S Latimer, RN, FNP
• Sarah Lockridge
• Justin D Lovvorn, MD
• Brianna McKey

• Clinical Social Worker in Bowdon, GA
• Providers in Bowdon, 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 Feb 27, 2023; 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.