Eileen W. Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC4603 Issued in ME

Practice address

98 Maine St
Brunswick, ME 04011-2031

Phone

(207) 729-5644

Fax

(207) 729-5699

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 ME

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Eileen W. Johnson, LCSW, LLC

  • Clinical Social Worker
  • Brunswick, ME
  • NPI 1184871196
  Authorized official Same address or phone
• Jeff Morrill, LCSW, LLC

  • Clinical Social Worker
  • Topsham, ME
  • NPI 1821343468
  NPD (past)
• Healing Insights Counseling, LLC

  • Clinical Social Worker
  • Winooski, VT
  • NPI 1285283572
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063533990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MAINE ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112031",
            "telephone_number": "207-729-5644",
            "fax_number": "207-729-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MAINE ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112031",
            "telephone_number": "207-729-5644",
            "fax_number": "207-729-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EILEEN",
        "middle_name": "W.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mellon, LLC
• Holly Rae Johantgen-Brown, DAOM, L.AC
• John F McGeough, MD
• Aaron Thomas Johnson, LADC, CCS
• Barbara Willman Johnson, LCSW
• Stemple D Johnson, M.D.
• Theresa Johnson, PT
• John Johnstone, DO
• Ryan Scott Jones, CADC
• Benjamin Jorgensen

• Clinical Social Worker in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.