Harmoni Kimberli Johnson
Individual provider Active NPI Clinical Social Worker · Crete, IL
NPI 1992546949 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1992546949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.027049 (IL)
- Practice address
- 3509 Donovan Dr
Crete, IL 60417-1509 - Phone
- (708) 518-9880
- NPI assigned
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.027049 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.027049 | IL | Yes |
Addresses
Primary practice location
3509 Donovan Dr
Crete, IL 60417-1509
Mailing address
3509 Donovan Dr
Crete, IL 60417-1509
Phone (708) 518-9880
Other providers in Crete, IL
- Independence Physical Therapy, PC
- Patti Ann Jackson
- Carlette Jefferson-Scott
- Jessica Johnsen
- Antoinette Johnson
- Josephine N. McCaskill
- Yash Kaushik
- Kids Connection Therapy Inc
- Patricia Joan Kimball
- Susan J Klein
All providers in Crete, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.