Active NPI
Margaret J Johnson, LCSW
- Clinical Social Worker
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149017387
- Practice address
- 1813 W Kirby Ave
Ste. 120
Champaign, IL 61821-5410 - Phone
- (217) 383-1850
- Fax
- (217) 383-3439
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 149017387 | IL | Primary |
Addresses
Primary practice location
1813 W Kirby Ave
Ste. 120
Champaign, IL 61821-5410
Mailing address
611 W Park St
BWPC
Urbana, IL 61801-2529
Phone (217) 383-6941
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1813 W Kirby Ave
Suite 110
Champaign, IL 61821-5410
Phone (217) 383-1850
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Elliott Counseling PC | Mental Health | Current | Accepting new patients |
| Carle Health Care Incorporated | Current | Accepting new patients |
Locations
309 W Clark St
Champaign, IL 61820
Phone (217) 552-1211
1813 W Kirby Ave
Ste 120
Champaign, IL 61821
Phone (217) 383-1850
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
2001 Philo Rd
Urbana, IL 61802
Phone (217) 552-1211
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Mental Health Counselor
- Urbana, IL
- NPI 1255357422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1497081145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "BWPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529",
"telephone_number": "217-383-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 W KIRBY AVE",
"address_2": "STE. 120",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618215410",
"telephone_number": "217-383-1850",
"fax_number": "217-383-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARGARET",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149017387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.