Individual provider Active NPI

Lili Johnson, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1003406315
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC200003225 Issued in DC
Practice address
915 Rhode Island Ave NW
Washington, DC 20001-4153
Phone
(202) 560-0349
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC200003225 DC Primary

Addresses

Primary practice location

915 Rhode Island Ave NW
Washington, DC 20001-4153

Mailing address

441 21St St NE
Washington, DC 20002-4705
Phone (202) 341-6761

Other practice location 1

920 Bellevue St SE
Washington, DC 20032-6030
Phone (202) 735-5579

Other names 1

  • Mrs. Lili Johnson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC200003225DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1003406315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 21ST ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024705",
            "telephone_number": "202-341-6761",
            "fax_number": "202-644-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 RHODE ISLAND AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014153",
            "telephone_number": "202-560-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Bellevue St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200326030",
            "country_code": "US",
            "telephone_number": "202-735-5579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LILI",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILI",
            "last_name": "JOHNSON",
            "prefix": "MRS.",
            "credential": "CLINICIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.