Individual provider Active NPI

Bari Johnson

  • Clinical Social Worker
  • Palatka, FL
National Provider Identifier
1689225476
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW21286 Issued in FL
Practice address
330 Kay Larkin Dr
Palatka, FL 32177-2307
Phone
(800) 539-4228
NPI assigned
Sep 24, 2019
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW21286 FL Primary

Addresses

Primary practice location

330 Kay Larkin Dr
Palatka, FL 32177-2307

Mailing address

330 Kay Larkin Dr
Palatka, FL 32177-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sma Healthcare, Inc CurrentSince May 4, 2023 Accepting new patients
Sma Healthcare Inc Current Accepting new patients
Sma Healthcare Inc CurrentSince May 4, 2023 Accepting new patients
Sma Healthcare Inc Past Accepting new patients

Locations

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328

702 S Ridgewood Ave
Daytona Beach, FL 32114
Phone (386) 254-1262

356 Englenook Dr
Ste 142
Debary, FL 32713

105 W Calvin St
Deland, FL 32720
Phone (386) 236-3290

1251 N Stone St
Deland, FL 32720
Phone (386) 469-1544

107 Dr Martin Luther King Jr Ave
Ste 1
Inverness, FL 34450
Phone (813) 666-2714

717 SW Mlk Jr Ave
Ocala, FL 34471
Phone (352) 291-5555

330 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 329-3780

1880 San Sebastian Vw
Ste 4201
St Augustine, FL 32084

Interoperability endpoints

  • Direct secure messaging: bari.johnson.p1@direct.smahealthcare.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1689225476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772307",
            "telephone_number": "800-539-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.