Organization Active NPI

Pamela H. Johnson, LCSW, PC

  • Clinical Social Worker
  • Hixson, TN
National Provider Identifier
1649548876
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
IP000054 Issued in TN
Legal business name
PAMELA H. JOHNSON, LCSW, PC
Practice address
5211 Hwy 153
Suite C
Hixson, TN 37343-4950
Phone
(423) 870-0085
Fax
(423) 870-3411
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Mrs. Pamela Heath Johnson, LCSW
Title
LCSW
Phone
(423) 870-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X IP000054 TN Primary

Addresses

Primary practice location

5211 Hwy 153
Suite C
Hixson, TN 37343-4950

Mailing address

5211 Hwy 153
Suite C
Hixson, TN 37343-4950
Phone (423) 870-0085

National Provider Directory

National Provider Directory

Locations

6778 Executive Oak Ln
Ste 100A
Chattanooga, TN 37421
Phone (423) 805-2514

5211 Highway 153
Ste C
Hixson, TN 37343
Phone (423) 870-0085

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1649548876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 HWY 153",
            "address_2": "SUITE C",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434950",
            "telephone_number": "423-870-0085",
            "fax_number": "423-870-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 HWY 153",
            "address_2": "SUITE C",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434950",
            "telephone_number": "423-870-0085",
            "fax_number": "423-870-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA H. JOHNSON, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "423-870-0085",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "IP000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.