Carol K Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1200 Harger Rd
Suite505
Oak Brook, IL 60523-1805

Phone

(630) 571-5750

Fax

(630) 571-5751

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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 IL

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smart Love Parenting CenterGroup PAC ID 8729261011, 11 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.

• Smart Love Parenting Center

  • Community/Behavioral Health Agency
  • Oak Park, IL
  • NPI 1922206101
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124233051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD",
            "address_2": "SUITE505",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231805",
            "telephone_number": "630-571-5750",
            "fax_number": "630-571-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD",
            "address_2": "SUITE505",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231805",
            "telephone_number": "630-571-5750",
            "fax_number": "630-571-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Versaskas, LLC
• Emma Claire Johannes
• John Fiene and Associates LLC
• Courtney Johns, MSW,LCSW
• Brandon Lee Johnson, PHARMD
• Chris Lynne Johnson, PSYD
• Emily Johnson, AUD
• Jimine Windy Johnson, LCPC
• Marie Elizabeth Johnson, PSY.D.
• Patricia Ann Johnson, OTR/L, PT

• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Social Worker in Illinois

• 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.