Provider Demographics
NPI:1093958696
Name:JOHNSON, STEVEN HENRY (LICSW-PIP)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:HENRY
Last Name:JOHNSON
Suffix:
Gender:
Credentials:LICSW-PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2062 MOUNTAIN ST NE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-1921
Mailing Address - Country:US
Mailing Address - Phone:256-490-6916
Mailing Address - Fax:256-792-9089
Practice Address - Street 1:105 SEABOARD BLVD
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:AL
Practice Address - Zip Code:36272
Practice Address - Country:US
Practice Address - Phone:256-490-6916
Practice Address - Fax:256-792-9089
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2470C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical