Cicely Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012218 Issued in IL

Practice address

77 W Washington St
Suite
Chicago, IL 60602-2801

Phone

(312) 823-8600

Fax

(312) 823-8600

NPI assigned

Jun 14, 2007

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1336343045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 FOREST COVE DR APT 306",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "address_2": "SUITE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022801",
            "telephone_number": "312-823-8600",
            "fax_number": "312-823-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CICELY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherise Johnson, LCSW
• Christen Deanna Johnson, MD
• Christopher Johnson, MA, CCC-SLP/L
• Christopher Ryan Johnson, M.D.
• Christopher Thomas Johnson
• Cicely Johnson, LCSW
• Claire Lillian Johnson, M.A.
• Claudia Johnson, LCPC, LPC, LAC
• Claudia Johnson, M.D.
• Cody Stephen Johnson, DMD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Dec 30, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.