Active NPI
Brandi N Johnson, LMSW
- Clinical Social Worker
- Johnson City, TN
National Provider Identifier
1902392533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9141
- Practice address
- 325 N. State of Franklin Road, Ground Floor
Johnson City, TN 37604 - Phone
- (423) 439-7320
- Fax
- (423) 439-7343
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- 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 | 9141 | TN | Primary |
| Social Worker | 104100000X | LSW0000009141 | TN |
Addresses
Primary practice location
325 N. State of Franklin Road, Ground Floor
Johnson City, TN 37604
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 439-7320
Other practice location 1
3915 Bristol Hwy Ste 101
Johnson City, TN 37601-1400
Phone (423) 283-6500
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 |
|---|---|---|---|
| LSW0000009141 | TN | MD | Social Worker |
| 9141 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1902392533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699",
"telephone_number": "423-439-7320",
"fax_number": "423-439-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N. STATE OF FRANKLIN ROAD, GROUND FLOOR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37604",
"telephone_number": "423-439-7320",
"fax_number": "423-439-7343"
}
],
"practiceLocations": [
{
"address_1": "3915 Bristol Hwy Ste 101",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376011400",
"country_code": "US",
"telephone_number": "423-283-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRANDI",
"middle_name": "N",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "9141",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LSW0000009141",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.