Amy Johnston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6546 N Natoma Ave
Chicago, IL 60631-1732

Phone

(773) 682-0472

NPI assigned

Nov 27, 2013

Last updated

Nov 27, 2013By the provider in NPPES

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

Opted out of Medicare

Yes, effective Oct 2, 2019 through Oct 2, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Urban Wellness, LTD.

  • Professional Counselor
  • Chicago, IL
  • NPI 1942565353

  Clinical

  NPD (past)

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1790116853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6546 N NATOMA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6546 N NATOMA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311732",
            "telephone_number": "773-682-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yarlesha Johnson, PHLEBOTOMIST
• Yetunde Johnson, MD., MPH
• Zariah Johnson
• Anneka Johnston-Dumerauf, MD
• Savannah Johnston-Schmidt, MA
• Andrew David Johnston, MD
• Barbara N Johnston, M.D.
• Brennan Fitzgerald Johnston, LPC
• Douglas R. Johnston, MD
• Douglas Ross Johnston, M.D.

• 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 Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.