Johnny Anthony Sr., SOCIAL WORKER
Individual provider Active NPI Clinical Social Worker · Tuskegee, AL
NPI 1942961867 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1942961867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5368G (AL)
- Practice address
- 2400 Hospital Rd
Tuskegee, AL 36083-5001 - Phone
- (334) 727-0550
- NPI assigned
- Jan 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5368G | AL | MD | Clinical Social Worker |
| 5668G | AL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5668G | AL | |
| Clinical Social Worker | 1041C0700X | 5368G | AL | Yes |
Addresses
Primary practice location
2400 Hospital Rd
Tuskegee, AL 36083-5001
Mailing address
2400 Hospital Rd
Tuskegee, AL 36083-5001
Phone (334) 727-0550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5368G | Other | AL | SOCIAL WORK |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Computer | Direct |
Other providers in Tuskegee, AL
- Diane L. Allen
- Merideth Hope Allen
- Deborah Denise Ambers
- Randall Anderson
- Angelo D Andrews Sr.
- Amber Arnold
- Kawanis Banks
- Chancey Perico Barnes
- Jessica Monique Beal
- Venita Beaty
All providers in Tuskegee, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.