Miss Gracelyn N Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tremont, Illinois. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Occult Mental Health Pllc and her current practice location is
123 S Sampson St, Tremont, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 929-2030.
Miss Gracelyn N Johnson is licensed to practice in Illinois (license number 149.029744) 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 1295610103.
Healthcare Provider's Profile
| Full Name | Miss Gracelyn N Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 3 Years |
|---|
| Location | 123 S Sampson St, Tremont, 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:
- Miss Gracelyn N Johnson graduated from medical school in 2023
NPI Data:
- NPI Number: 1295610103
- Provider Enumeration Date: 08/08/2025
- Last Update Date: 08/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385135763
- Enrollment ID: I20251113001659
Medical Identifiers
Medical identifiers for Miss Gracelyn N Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295610103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 149.029744 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Occult Mental Health Pllc | 4183164973 | 3 |
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. Miss Gracelyn N 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 |
Miss Gracelyn N Johnson, LCSW 123 S Sampson St, Tremont, IL 61568-8035 Ph: (336) 909-5946 | Miss Gracelyn N Johnson, LCSW 123 S Sampson St, Tremont, IL 61568-8035 Ph: (309) 929-2030 |
Reviews and Comments