Active NPI
Dominique Johns
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1679376966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.027684
- Practice address
- 6524 S Evans Ave
Chicago, IL 60637-3414 - Phone
- (708) 275-8239
- NPI assigned
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.027684 | IL | Primary |
Addresses
Primary practice location
6524 S Evans Ave
Chicago, IL 60637-3414
Mailing address
6524 S Evans Ave
Chicago, IL 60637-3414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.027684 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1679376966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6524 S EVANS AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606373414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6524 S EVANS AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606373414",
"telephone_number": "708-275-8239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "DOMINIQUE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.027684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Johnest Transportation and Concierge Services
- Johnest Transportation and Concierge Services
- Johnest Transportation and Concierge Services
- Abajah Rose Johnkin
- Johnnie Lewis D.P.M P.C
- Julie Ann Johnsen, CRNA
- Stacey Renee Johnson Belmont, PHD
- Johnson Healthcare Providers LTD
- Johnson Healthcare Services
- Laura Jean Johnson O'Laughlin, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.