LISA JOHNSON (NPI# 1417375650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417375650 |
| Entity Type | Individual |
| Full Name | LISA JOHNSON |
| Credential | LCSW |
| Practice Address |
28 E Marion St Princeton IL 61356-2093 |
| Mailing Address |
602 Grove St Henry IL 61537-1204 |
| Practice Telephone | 8158752192 |
| Mailing Telephone | 3097140354 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.011372 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651730 | Lisa Michele Johnson | Counselor | 2615 S 14th St, Tacoma, WA 98405-2627 | 2020-05-19 |
| 1336772771 | Lisa M Johnson | Nurse Practitioner | 3500 E Frank Phillips Blvd Ste 501, Bartlesville, OK 74006-2411 | 2020-02-13 |
| 1467084897 | Lisa S Johnson | Case Manager/Care Coordinator | 510 Exeter Pl, Lake Forest, IL 60045-1521 | 2020-02-04 |
| 1669002010 | Lisa Yvette Johnson | Health Educator | 4939 Pleasant Grove Dr, Wilmington, NC 28412-2288 | 2020-01-23 |
| 1235771064 | Lisa Johnson | Social Worker | 26 Pinto Ln, Palm Coast, FL 32164-7071 | 2019-10-14 |
| 1831661743 | Lisa Rebecca Johnson | Licensed Vocational Nurse | 2701 Lucille Dr Unit A, Killeen, TX 76549-1600 | 2018-12-18 |
| 1235600115 | Lisa Marie Johnson | Nurse Practitioner | 12114 Grey Rock Ln, Austin, TX 78750-1435 | 2018-12-17 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1306346291 | Lisa Johnson | Registered Nurse | 11244 Sundance Ave, El Paso, TX 79936-2322 | 2018-02-16 |
| 1265949796 | Lisa Johnson | Registered Nurse | 648 W M94, Skandia, MI 49885-9609 | 2018-01-05 |
| Street Address |
28 E MARION ST |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-2093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609974302 | Patricia Elizabeth Schofield | Counselor | 28 E Marion St, Suite 5, Princeton, IL 61356-2093 | 2006-09-20 |
| 1770815136 | New Directions Counseling Center | Community/Behavioral Health | 28 E Marion St, Suite 5, Princeton, IL 61356-2093 | 2010-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327534 | Emily Rudofsky | Social Worker | 20 Nassau St Ste 413, Princeton, NJ 08542-4505 | 2019-10-14 |
| 1104482934 | Sara N Scruggs | Social Worker | 28 E Marion St Ste 5, Princeton, IL 61356-2098 | 2019-05-16 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1306409933 | Susan Ernst | Social Worker | 1212 S Church St, Princeton, IL 61356-2426 | 2019-04-18 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1417425075 | Lisa Canzano | Social Worker | 20 Nassau St Ste 243, Princeton, NJ 08542-4547 | 2018-11-12 |
| 1518440692 | Carrie Phillips | Social Worker | 13 Gregory Hill Rd, Princeton, MA 01541-1101 | 2018-09-13 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1720578768 | Tiffany Chivlare | Social Worker | 320 S 5th Ave, Princeton, IN 47670-3519 | 2018-05-15 |
| 1033606942 | Tlp Consulting Group, LLC | Social Worker | 245 Nassau St # C, Princeton, NJ 08540-4600 | 2018-04-16 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.