Individual provider Active NPI

Tunisia London, LICSW-S, PIP

  • Clinical Social Worker
  • Spanish Fort, AL
National Provider Identifier
1902398274
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19449 Issued in FL
Practice address
34124 Burwood Dr
Spanish Fort, AL 36527-7301
Phone
(251) 401-5602
Fax
(251) 340-2596
NPI assigned
Jun 3, 2018
Last updated
Jun 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1421-4097C AL
Clinical Social Worker 1041C0700X SW19449 FL Primary

Addresses

Primary practice location

34124 Burwood Dr
Spanish Fort, AL 36527-7301

Mailing address

34124 Burwood Dr
Spanish Fort, AL 36527-7301
Phone (251) 401-5602

Other names 1

  • Sabrina London Professional name

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

State licenses

LicenseStateTypeSpecialty
1421-4097CALMDClinical Social Worker
SW19449FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Specialized Alternatives for Families and Youth of America, Inc. PastSince Nov 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tunisialondon@tdh.allscriptsdirect.net

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, 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": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1902398274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34124 BURWOOD DR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365277301",
            "telephone_number": "251-401-5602",
            "fax_number": "251-340-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34124 BURWOOD DR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365277301",
            "telephone_number": "251-401-5602",
            "fax_number": "251-340-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "TUNISIA",
        "credential": "LICSW-S, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1421-4097C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "LONDON",
            "credential": "LICSW, PIP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spanish Fort, AL

Sources for this page

Verify at the official NPI Registry.