Healthcare Provider Details

I. General information

NPI: 1215840905
Provider Name (Legal Business Name): SEVIERRE JOHN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 COMMERCE AVE
CULLMAN AL
35055-6151
US

IV. Provider business mailing address

4040 MEMORIAL PKWY SW
HUNTSVILLE AL
35802-4364
US

V. Phone/Fax

Practice location:
  • Phone: 256-734-4688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7600G
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: