Alysa Harless Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Penn Valley, California. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
14011 Lodgepole Ct, Penn Valley, California. You can reach out to her office (for appointments etc.) via phone at
(906) 407-0047.
Alysa Harless Johnson is licensed to practice in California (license number 77484) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1235590258.
Healthcare Provider's Profile
| Full Name | Alysa Harless Johnson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 14011 Lodgepole Ct, Penn Valley, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alysa Harless Johnson graduated from medical school in 2012
NPI Data:
- NPI Number: 1235590258
- Provider Enumeration Date: 03/18/2016
- Last Update Date: 03/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769756451
- Enrollment ID: I20260609002519
Medical Identifiers
Medical identifiers for Alysa Harless Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235590258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 77484 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alysa Harless Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Alysa Harless Johnson, LCSW 11354 Pleasant Valley Rd # 94, Penn Valley, CA 95946-9000 Ph: (906) 407-0047 | Alysa Harless Johnson, LCSW 14011 Lodgepole Ct, Penn Valley, CA 95946-9128 Ph: (906) 407-0047 |
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