Alexandra Lilia Johnson, L.C.S.W.
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1972887487
StatusActive
Last updated in NPPESNov 20, 2014
Details
- NPI
- 1972887487
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Lilia Johnson
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2011
- Last updated
- Nov 20, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.016854 | IL | Yes |
Practice location
2551 N Clark StSuite 800
Chicago, IL 60614-1798
Phone 312-257-8550
Mailing address
2551 N Clark StSuite 800
Chicago, IL 60614-1798
Phone 312-257-8550
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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