Taylor M Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022994 Issued in IL

Practice address

2401 W North Ave Unit 303
Chicago, IL 60647-6548

Phone

(312) 488-9485

NPI assigned

May 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Chicago Addiction Counseling & Therapy Initiative PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1841071206
  NPD Authorized official
• Pathos Chicago LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1447716568

  Social Worker

  NPD

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1841789930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W NORTH AVE UNIT 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476548",
            "telephone_number": "312-488-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W NORTH AVE UNIT 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476548",
            "telephone_number": "312-488-9485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 W Erie St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606547692",
            "country_code": "US",
            "telephone_number": "312-792-3610 x22",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4809 N Ravenswood Ave Unit 227",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60640",
            "country_code": "US",
            "telephone_number": "773-892-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAYLOR",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103614",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahnee Johnson
• Tasha Johnson
• Tashanda Johnson
• Tawanda Johnson, FNP-BC
• Taylor Danielle Johnson
• Tejoni Johnson
• Tete Johnson
• Teti Johnson, NURSE PRACTITIONER
• Tikina L Johnson
• Todd Andrew Johnson, 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 Oct 4, 2023; 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.