Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julia Ann Hanneken, LCSW

Individual provider Clinical Social Worker · NPI 1790559938

Julia Ann Hanneken, LCSW is a Clinical Social Worker in Johnson City, Tennessee. Qualified in 2018, 8 years ago. Practices with Brightside Medical PC, a 280-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

104 Chadwick Cir
Johnson City, TN 37601-1090
Phone: (423) 302-8458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 008023 (TN)

Record details

NPI number1790559938
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 8, 2023
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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