Individual provider Active NPI

Lindsey R Johnson, MSW, LCSW

  • Clinical Social Worker
  • Sikeston, MO
National Provider Identifier
1396476214
Registry record updated Feb 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024010290 Issued in MO
Practice address
903 S Kingshighway St
Sikeston, MO 63801-4415
Phone
(573) 472-2139
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-20524 AZ
Clinical Social Worker 1041C0700X 2024010290 MO Primary

Addresses

Primary practice location

903 S Kingshighway St
Sikeston, MO 63801-4415

Mailing address

903 S Kingshighway St
Sikeston, MO 63801-4415
Phone (573) 472-2139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220919003240 AZ Practitioner - Clinical Social Worker 5193100642 Reassigns benefits to 1 organization
I20240729000737 MO Practitioner - Clinical Social Worker 5193100642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

3401 Berrywood Dr
Columbia, MO 65201-6515
Phone (573) 777-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-20524AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Creative Care Inc. CurrentSince Mar 12, 2024 Accepting new patients
Southeast Missouri Behavioral Health Inc CurrentSince Sep 1, 2025 Accepting new patients
Lifewell Behavioral Wellness CurrentSince Jun 3, 2022 Accepting new patients
Southeast Missouri Behavioral Health Past Accepting new patients
Lifewell Behavioral Wellness PastSince Jun 1, 2022 Accepting new patients

Locations

6915 E Main St
Mesa, AZ 85207
Phone (480) 464-1061

6915 E Main St
Ste 200
Mesa, AZ 85207

40 E Mitchell Dr
Ste 100
Phoenix, AZ 85012
Phone (602) 995-7474

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

1103 Weber Rd
Farmington, MO 63640
Phone (573) 456-4581

5536 State Highway 32
Farmington, MO 63640
Phone (573) 756-5749

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

Organizations & group practices 6

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769904000000",
    "number": "1396476214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S KINGSHIGHWAY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014415",
            "telephone_number": "573-472-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S KINGSHIGHWAY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014415",
            "telephone_number": "573-472-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDSEY",
        "middle_name": "R",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-02-01",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-20524",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024010290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.