Individual provider Active NPI

Brittany Johnson, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1164091757
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149022764 Issued in IL
Practice address
2429 W Touhy Ave Apt 1W
Chicago, IL 60645-3314
Phone
(773) 499-8678
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 149022764 IL Primary

Addresses

Primary practice location

2429 W Touhy Ave Apt 1W
Chicago, IL 60645-3314

Mailing address

2429 W Touhy Ave Apt 1W
Chicago, IL 60645-3314
Phone (773) 499-8678

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240605000150 IL Practitioner - Clinical Social Worker 8820530959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149022764ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unify Counseling Inc Clinical CurrentSince May 23, 2024 Accepting new patients
DPT Holdings PLLC Past Accepting new patients

Locations

701 Main St
Ste 203
Evanston, IL 60202
Phone (847) 906-3005

400 Central Ave
Ste 220
Northfield, IL 60093
Phone (847) 221-2222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1164091757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 W TOUHY AVE APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453314",
            "telephone_number": "773-499-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 W TOUHY AVE APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453314",
            "telephone_number": "773-499-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRITTANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.