Tamara Elise Johnson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12931 Issued in TN

Practice address

4646 Poplar Ave Ste 325
Memphis, TN 38117-4433

Phone

(901) 443-8895

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1497368526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 BLIMEY CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381169438",
            "telephone_number": "769-243-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE STE 325",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174433",
            "telephone_number": "901-443-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMARA",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "12931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Johnson, O.D.
• Stephen Michael Johnson, MD
• Sydney Swims Johnson
• Symphony Johnson, LICSWA
• Tabatha Johnson
• Taylor Johnson, LPC-MHSP
• Teresa F Johnson, CRNA
• Tiffany Breonda Johnson, PHARM D
• Tina G Johnson, FNP
• Tracey L Johnson

• Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.