Active NPI
Whitney Johnson, LCSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1649689845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15515
- Practice address
- 5900 Townsend Rd Apt 1331
Jacksonville, FL 32244-4584 - Phone
- (407) 924-8915
- NPI assigned
- Aug 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15515 | FL | Primary |
Addresses
Primary practice location
5900 Townsend Rd Apt 1331
Jacksonville, FL 32244-4584
Mailing address
7901 4TH St N Ste 20688
St Petersburg, FL 33702-4305
Phone (305) 901-4873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW15515 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Pro Performance Physical Therapy LLC | Past | Accepting new patients |
Locations
2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fort Lauderdale, FL
- NPI 1215598529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1649689845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 20688",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "305-901-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 TOWNSEND RD APT 1331",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322444584",
"telephone_number": "407-924-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WHITNEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-13",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.