Mr David Allen Johnson, MSW, LCSW, LCAC,MAC is a
Social Worker - Clinical based in Matteson, Illinois. Mr David Allen Johnson is licensed to practice in Illinois (license number 149.028252) and his current practice location is
4801 Southwick Dr Ste 300, Matteson, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 747-2655.
NPI number for Mr David Allen Johnson is 1811223407 and his current mailing address is 3176 Lancer St, Portage, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811223407.
Healthcare Provider's Profile
| Full Name | Mr David Allen Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4801 Southwick Dr Ste 300, Matteson, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811223407
- Provider Enumeration Date: 11/02/2009
- Last Update Date: 08/14/2025
Medical Identifiers
Medical identifiers for Mr David Allen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811223407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000461A (Indiana) | Secondary |
| 104100000X | Social Worker | 33007055A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.028252 (Illinois) | 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. Mr David Allen Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr David Allen Johnson, MSW, LCSW, LCAC,MAC
3176 Lancer St,
Portage, IN 46368-4408
Ph: (219) 763-8847 | Mr David Allen Johnson, MSW, LCSW, LCAC,MAC
4801 Southwick Dr Ste 300,
Matteson, IL 60443-2279
Ph: (708) 747-2655 |
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