Scott Allison Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8895-C Issued in AR

Practice address

1012 E Church St Ste B
Warren, AR 71671-3530

Phone

(870) 226-6754

NPI assigned

Aug 6, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mainline Health Systems IncGroup PAC ID 5193785590, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612

  AR

  Medicare reassignment NPD
• Mainline Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1164264834

  AR

  Medicare reassignment NPD
• Mainline Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, AR
  • NPI 1669401501
  NPD
• Mainline Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Magnolia, AR
  • NPI 1972464337
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1003394602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E CHURCH ST STE B",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713530",
            "telephone_number": "870-226-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "middle_name": "ALLISON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8895-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Danya Jackson, FNP
• Kimberly R Jackson
• Marie Ruth Jenkins, LCSW
• Candace Johnson, QBHP
• Misty Johnson
• Tamara Kay Jolley, OTR
• Jennifer Jones, QBHP
• Jessica Elizabeth Jones
• Christopher C Kelley, PHARMD
• Kerry Pennington, PA

• All providers in Warren, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.