Active NPI
John Druilhett Johnston III, LCSW
- Clinical Social Worker
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW17601
- Practice address
- 6326 Grand Oak Cir
Apt 104
Bradenton, FL 34203-7135 - Phone
- (207) 446-6123
- NPI assigned
- Jun 6, 2008
- Last updated
- Nov 3, 2023
- Sex
- Male
- 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 | LC5946 | ME | |
| Clinical Social Worker | 1041C0700X | SW17601 | FL | Primary |
Addresses
Primary practice location
6326 Grand Oak Cir
Apt 104
Bradenton, FL 34203-7135
Mailing address
6326 Grand Oak Cir
Apt 104
Bradenton, FL 34203-7135
Phone (207) 446-6123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223830099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, FL
- 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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6326 Grand Oak Cir
Apt 104
Bradenton, FL 34203-7135
Phone (207) 446-6123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5946 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| SW17601 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Mindful Mental Health Services - FL Gulf SW LLC | Clinical | Current | Accepting new patients |
| Direct Access Counseling & Supportive Services, LLC | Clinical | Current | Accepting new patients |
| Ultima Rehab-FL LLC | Past | Accepting new patients | |
| Sweetser | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260
8980 49th St N
Pinellas Park, FL 33782
Phone (727) 546-4053
Organizations & group practices 5
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.
-
dba Direct Access Counseling and Supportive Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, FL
- NPI 1679011449
Clinical
-
- Clinical Social Worker
- Longboat Key, FL
- NPI 1568121267
-
- Geriatric Physical Therapist
- North Fort Myers, FL
- NPI 1053970194
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saco, ME
- NPI 1538122445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1942469648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6326 GRAND OAK CIR",
"address_2": "APT 104",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342037135",
"telephone_number": "207-446-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6326 GRAND OAK CIR",
"address_2": "APT 104",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342037135",
"telephone_number": "207-446-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JOHN",
"middle_name": "DRUILHETT",
"name_suffix": "III",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC5946",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW17601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "223830099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.