Jill A. Johnson-Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26872 Issued in CA

Practice address

6840 Indiana Ave
Suite 275
Riverside, CA 92506-4298

Phone

(951) 778-0230

Fax

(951) 823-5134

NPI assigned

Nov 16, 2011

Last updated

Oct 17, 2014By 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 CA

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Counseling Services Licensed Clinical Social Worker IncGroup PAC ID 2365886363, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Counseling Services Licensed Clinical Social Worker Inc

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1043704331
  Medicare reassignment Care Compare group NPD
• Central Counseling Services

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1376849257
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1083991293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 INDIANA AVE",
            "address_2": "SUITE 275",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064298",
            "telephone_number": "951-778-0230",
            "fax_number": "951-823-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 INDIANA AVE",
            "address_2": "SUITE 275",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064298",
            "telephone_number": "951-778-0230",
            "fax_number": "951-823-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-YOUNG",
        "first_name": "JILL",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Shaw MD Medical Corporation
• Sanu John, DO
• Sung Jin John, MD
• Johnre LLC
• Lawana J Johnson-Spencer
• Aaron Joseph Johnson, BA
• Alexa Marin Johnson, MD
• Alexis Johnson
• Alicia M Johnson, PA
• Alison Johnson

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.