Courtney Jean Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022832 Issued in IL

Practice address

155 N Michigan Ave Ste 380
Chicago, IL 60601-7710

Phone

(773) 340-2616

NPI assigned

Nov 8, 2017

Sex

Female

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)

Not 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 and National Provider Directory roles.

• The Renfrew Center of Illinois

  • Professional Counselor
  • Northbrook, IL
  • NPI 1275058745
  NPD (past)
• The Renfrew Centers, Inc.

  dba The Renfrew Center of Illinois, LLC

  • Adult Mental Health Clinic/Center
  • Northbrook, IL
  • NPI 1811398803
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1962915363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 N KENMORE AVE APT 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403685",
            "telephone_number": "630-470-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 380",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017710",
            "telephone_number": "773-340-2616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Revere Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621567",
            "country_code": "US",
            "telephone_number": "847-291-6805 x1322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COURTNEY",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Stephen Johnson, DMD
• Coleen Johnson, M.D.
• Colleen Anne Johnson, DPT
• Conor W Johnson
• Courtney Johnson, OT
• Cynthia Johnson
• Cynthia Lynne Johnson, APN
• Danette E Johnson, OTR
• Daniel Johnson
• Daniel E Johnson, PHARMD

• 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 Dec 29, 2020; 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.