Nisa Johnson, | |
1100 Beech St Bldg 10-1, Normal, IL 61761-1568 | |
(309) 750-0415 | |
Not Available |
Full Name | Nisa Johnson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1100 Beech St Bldg 10-1, Normal, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255716205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149017179 (Illinois) | Primary |
Entity Name | Nisa Johnson Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295469559 PECOS PAC ID: 5890163083 Enrollment ID: O20221118001778 |
Mailing Address | Practice Location Address |
---|---|
Nisa Johnson, 1100 Beech St Bldg 10-1, Normal, IL 61761-1568 Ph: (309) 750-0415 | Nisa Johnson, 1100 Beech St Bldg 10-1, Normal, IL 61761-1568 Ph: (309) 750-0415 |
Laurie Krolikowski, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1306 Stephens Dr, Normal, IL 61761 Phone: 309-532-4572 | |
Mary Ann Pullin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 Oglesby Ave, Normal, IL 61761 Phone: 309-557-1124 Fax: 309-454-9257 | |
Ms. Naomi Wilansky, MSS LCSW BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1100 Beech St, Bldg 10, Normal, IL 61761 Phone: 309-825-8818 Fax: 309-452-1265 | |
Cheri Carroll, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Kays Dr Ste C, Normal, IL 61761 Phone: 309-664-3130 Fax: 309-664-3528 | |
Laura Jennings-mitchell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 E Lincoln St, Ste 303, Normal, IL 61761 Phone: 309-451-9495 | |
Teresa Eubanks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5334 | |
Sarah E Walters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2958 Benson Ln, Normal, IL 61761 Phone: 815-243-0177 |