| Katherine Johnson, LCSW | |
|
805 Saint Francis Way, Litchfield, IL 62056-1779 | |
| (217) 839-4141 | |
| Not Available |
| Full Name | Katherine Johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 805 Saint Francis Way, Litchfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194282343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.022829 (Illinois) | Primary |
| Entity Name | Macoupin County Public Health Department |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Johnson, LCSW 205 Oakland Ave, Carlinville, IL 62626-1921 Ph: (217) 854-3223 | Katherine Johnson, LCSW 805 Saint Francis Way, Litchfield, IL 62056-1779 Ph: (217) 839-4141 |
Mr. Jennifer S Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1285 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-6127 Fax: 217-324-5959 | |
Dr. Carissa J Van Den Berk-clark, PHD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 805 Saint Francis Way, Litchfield, IL 62056 Phone: 217-250-2380 |