Katherine M Johnson, LCSW in Addison, IL - Medicare Clinical Social Worker Provider

Katherine M Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Addison, Illinois. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Serendipity Counseling Services, Inc and her current practice location is 228 E Lake St, Addison, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 835-1430.

Katherine M Johnson is licensed to practice in Illinois (license number 149021455) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750939476.

Contact Information

	Katherine M Johnson, LCSW
	228 E Lake St, Addison, IL 60101-2889
	(630) 835-1430
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine M Johnson
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	228 E Lake St, Addison, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katherine M Johnson graduated from medical school in 2015

NPI Data:

NPI Number: 1750939476
Provider Enumeration Date: 08/27/2019
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6204166671
Enrollment ID: I20190927000191

Medical Identifiers

Medical identifiers for Katherine M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750939476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	149021455 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Serendipity Counseling Services, Inc	0648643973	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine M Johnson allows following entities to bill medicare on her behalf.

Entity Name	Beloved Community Family Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760408439 PECOS PAC ID: 0042216038 Enrollment ID: O20061016000042

Entity Name	Serendipity Counseling Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164908547 PECOS PAC ID: 0648643973 Enrollment ID: O20230307001087

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. Katherine M 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
Katherine M Johnson, LCSW 6821 S Halsted St, Chicago, IL 60621-1833 Ph: (773) 651-3629	Katherine M Johnson, LCSW 228 E Lake St, Addison, IL 60101-2889 Ph: (630) 835-1430

Reviews and Comments

Social Worker in Addison, IL

Ms. Virginia Ann Gemmell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 W Lake St, Addison, IL 60101 Phone: 630-715-6390 Fax: 630-458-0176
Kathy Goss, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 E Lake St, Addison, IL 60101 Phone: 312-600-5057
Mrs. Aarika Miller, LCSW, CDVP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 331-221-9000
Nicole Rose Palmer, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 303 W Lake St, 304, Addison, IL 60101 Phone: 331-221-1650
Gisela Alamo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 630-682-7400
Rachel Marie Carter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2055 W Army Trail Rd Ste 140, Addison, IL 60101 Phone: 312-229-7247
Mrs. Rachel Menge, LCSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Friendship Plz, Addison, IL 60101 Phone: 630-693-7934

Katherine M Johnson, LCSW - Medicare Clinical Social Worker in Addison, IL