Active NPI
Tanya Jeanne Johnson-Gilchrist, LCSW, MSW, MPH, CPH
- Clinical Social Worker
- Ruskin, FL
National Provider Identifier
1477939551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 12868
- Practice address
- 323 Vine Cliff St
Ruskin, FL 33570-4935 - Phone
- (813) 609-2655
- Fax
- (813) 381-3909
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 12868 | FL | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 9457 | FL |
Addresses
Primary practice location
323 Vine Cliff St
Ruskin, FL 33570-4935
Mailing address
PO Box 6823
Tampa, FL 33608-0823
Phone (813) 609-2655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 12868 | FL | MD | Clinical Social Worker |
| 9457 | FL | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1477939551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6823",
"city": "TAMPA",
"state": "FL",
"postal_code": "336080823",
"telephone_number": "813-609-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 VINE CLIFF ST",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335704935",
"telephone_number": "813-609-2655",
"fax_number": "813-381-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON-GILCHRIST",
"first_name": "TANYA",
"middle_name": "JEANNE",
"credential": "LCSW, MSW, MPH, CPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 12868",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "FL",
"license": "9457",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.