MEDICARE: CANISHA MONE JOHNSON BSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	171M00000X	Case Manager/Care Coordinator
3	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1750834537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANISHA MONE JOHNSON BSW

Provider Business Mailing Address
First Line	:	201 W SPRINGDALE AVE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37917-5158
Country	:	US
Telephone Number	:	865-637-9711
Fax Number	:	423-714-2355

Provider Business Practice Location Address
First Line	:	1510 OLD RINGGOLD RD
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37404-5444
Country	:	US
Telephone Number	:	423-266-6751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2016
Last Update Date	:	06/08/2020

Similar Medicare Providers

1205717170 — ALYSSA GRACE PENDERGRASS
Practice Location Address:

1510 RINGGOLD RD
CHATTANOOGA, TN
37404-5444

Practice Phone: 423-266-6751
Practice Fax:

1457588592 — FORTWOOD CENTER, INC.
Practice Location Address:

1510 OLD RINGGOLD RD
CHATTANOOGA, TN
37404-5444

Practice Phone: 423-266-6751
Practice Fax: 423-763-4650

1366679409 — FORTWOOD CENTER, INC.
Practice Location Address:

1508 OLD RINGGOLD RD
CHATTANOOGA, TN
37404-5444

Practice Phone: 423-266-6751
Practice Fax: 423-763-4650

1689177081 — MRS. SHARON DENISE WILLIAMS
Practice Location Address:

1508 OLD RINGGOLD RD
CHATTANOOGA, TN
37404-5444

Practice Phone: 423-803-6584
Practice Fax:

1780178327 — CHRISTOPHER STEVEN PRECISE
Practice Location Address:

1510 OLD RINGGOLD RD
CHATTANOOGA, TN
37404-5444

Practice Phone: 423-266-6751
Practice Fax:

1477030419 — MAIRIN CONNOR KNAUSS
Practice Location Address:

1510 OLD RINGGOLD RD
CHATTANOOGA, TN
37404-5444

Practice Phone: 423-266-6751
Practice Fax:

Directions to “ CANISHA MONE JOHNSON BSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.