Heather Leigh McDermottjohnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4227C Issued in AL

Practice address

1630 S Broad St
Mobile, AL 36605-1806

Phone

(251) 405-4743

NPI assigned

Nov 20, 2018

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1619446663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 BARCELONA DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934403",
            "telephone_number": "251-656-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366051806",
            "telephone_number": "251-405-4743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Sledge Dr",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366063021",
            "country_code": "US",
            "telephone_number": "251-473-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTTJOHNSON",
        "first_name": "HEATHER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4227C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie McDaniel
• Ramona T McDaniel, LPC
• Sarah Carley McDavid, IBCLC
• Heidi McDermott, DPT
• Ryon C McDermott, PHD
• Jim D. McDill, PH.D.
• Jessica McDonald, MS, LPC
• Kim McDonald
• Lee Ann Cunningham McDonald, LPC
• Marty D McDonald, DO

• Clinical Social Worker in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.