Active NPI
John Hannaberry
- Clinical Social Worker
- Pensacola, FL
National Provider Identifier
1649683723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 95620
- Practice address
- 6000 Highway 98
Pensacola, FL 32512-2074 - Phone
- (850) 452-5528
- NPI assigned
- Jun 6, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 95620 | CA | Primary |
| Social Worker | 104100000X | ASW67877 | CA |
Addresses
Primary practice location
6000 Highway 98
Pensacola, FL 32512-2074
Mailing address
6000 Highway 98
Pensacola, FL 32512
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW67877 | CA | MD | Social Worker |
| 95620 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1649683723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 HIGHWAY 98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 HIGHWAY 98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325122074",
"telephone_number": "850-452-5528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNABERRY",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2024-05-23",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "95620",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW67877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.