Corrine Johnson LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016230 Issued in IL

Legal business name

CORRINE JOHNSON LCSW LLC

Practice address

708 Church St
Suite 233
Evanston, IL 60201-3875

Phone

(847) 868-6884

NPI assigned

Dec 11, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Corrine Johnson, LCSW

Title

Therapist

Phone

(847) 868-6884

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Corrine Johnson LCSW Doing business as

Locations

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1194156547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST",
            "address_2": "SUITE 233",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013875",
            "telephone_number": "847-868-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST",
            "address_2": "SUITE 233",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013875",
            "telephone_number": "847-868-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRINE JOHNSON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CORRINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "847-868-6884",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1952642449",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corrine Johnson LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Cordeiro, MD
• Sarah Cordell, DNP
• Julio Cordero, MD
• Cornerstone Health Company
• Alejandra Corral, MD
• Teresa A Cortas, LCSW
• Myrna David Cortez-Lapera, M.D
• Maila Charina D. Cosico, APN-CNP
• Christine T. Costello, PHD
• Heather Helene Costello, MD

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Apr 28, 2015; 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.