Marvin A. Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

27750 W Il Route 22
Suite 220
Barrington, IL 60010-2379

Phone

(847) 304-0770

Fax

(847) 304-0795

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Borst & Associates Inc

  dba Barrington Center for Counseling & Psychotherapy

  • Clinical Psychologist
  • Barrington, IL
  • NPI 1619075140
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417021635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27750 W IL ROUTE 22",
            "address_2": "SUITE 220",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102379",
            "telephone_number": "847-304-0770",
            "fax_number": "847-304-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27750 W IL ROUTE 22",
            "address_2": "SUITE 220",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102379",
            "telephone_number": "847-304-0770",
            "fax_number": "847-304-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARVIN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "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": []
}

• Jo Homecare Services
• Joanne G. Parks, MD, SC
• Joel D Carnazzo, PSYD
• Agatha Mankiewicz Johnson, LPC
• Margaret Johnson, P.T.
• Pamela J Johnson, LMFT
• Taylor Johnson, APRN
• Michelle Erika Joos
• Stacy Tresa Joseph, PHARMD
• Journeycare, Inc

• Clinical Social Worker in Barrington, IL
• Providers in Barrington, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.