Active NPI
Hannah Falls Johnston, LICSW, PIP
- Clinical Social Worker
- Northport, AL
National Provider Identifier
1942796149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4357C
- Practice address
- 11914 Dunston Cir
Northport, AL 35475-4629 - Phone
- (205) 523-5117
- NPI assigned
- Jul 11, 2018
- Last updated
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | LSW0000006754 | TN | |
| Clinical Social Worker | 1041C0700X | 4357C | AL | Primary |
Addresses
Primary practice location
11914 Dunston Cir
Northport, AL 35475-4629
Mailing address
2141 Legacy Park Loop
Tuscaloosa, AL 35404-5231
Phone (865) 209-3786
Other names 1
- Hannah Falls Johnston
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4357C | AL | MD | Clinical Social Worker |
| LSW0000006754 | TN | MD | Clinical Social Worker |
| 6754 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Warrior Behavioral Health LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northport, AL
- NPI 1801519178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1942796149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 LEGACY PARK LOOP",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045231",
"telephone_number": "865-209-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11914 DUNSTON CIR",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354754629",
"telephone_number": "205-523-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "HANNAH",
"middle_name": "FALLS",
"credential": "LICSW, PIP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000006754",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4357C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "JOHNSTON",
"middle_name": "FALLS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.