Johnnie Terrell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19794 Issued in FL

Practice address

1852 Monte Vista St
Fort Myers, FL 33901-4938

Phone

(239) 214-3822

NPI assigned

Apr 19, 2017

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, SC

  Medicare reassignment NPD
• Alpha Counseling Services PLLC.

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1174243679
  Authorized official Same address or phone
• Melinda Messina

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1487066825
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1710411467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 EDERBERRY LANE SUITE 6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074938",
            "telephone_number": "239-214-3822",
            "fax_number": "239-766-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 MONTE VISTA ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339014938",
            "telephone_number": "239-214-3822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1852 Monte Vista St",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339014938",
            "country_code": "US",
            "telephone_number": "239-217-3822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1852 Monte Vista St",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339014938",
            "country_code": "US",
            "telephone_number": "239-214-3822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1852",
            "address_2": "Monte Vista Street",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "33901",
            "country_code": "US",
            "telephone_number": "239-214-3822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1852 Monte Vista St",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339014938",
            "country_code": "US",
            "telephone_number": "239-214-3822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "JOHNNIE",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW11411",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tender Heart Counseling LLC
• Noelle Tennant
• Justin James Tennyson, M.D.
• Kathleen N Tenrreiro, ARNP
• Renee Marie Terrasi, PHD
• Kenneth C Terry II, DO
• Tesla MRI LLC
• Megan L. Tetlow, PA-C
• Julie Marsha Teuber, MD
• Micah Tew, DPT

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.