Active NPI
Monisha Johnson
- Social Worker
- Chicago, IL
National Provider Identifier
1972013191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2030 S State St
Chicago, IL 60616-1524 - Phone
- (773) 245-6785
- NPI assigned
- Oct 2, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2030 S State St
Chicago, IL 60616-1524
Mailing address
2030 S State St
Chicago, IL 60616-1524
Phone (312) 719-6664
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
201 W Lake St
Chicago, IL 60606-0239
Phone (708) 208-4651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear to Ear Behavioral Health Solutions | Current | Accepting new patients | |
| Youth Outreach Services | Past | Accepting new patients | |
| Youth Outreach Services | Past | Accepting new patients |
Locations
201 W Lake St
Chicago, IL 60606
Phone (708) 208-4651
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1467023150
-
- Community/Behavioral Health Agency
- Melrose Park, IL
- NPI 1568916476
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Melrose Park, IL
- NPI 1811227341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1972013191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161524",
"telephone_number": "312-719-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161524",
"telephone_number": "773-245-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MONISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2023-04-07",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.