LINDA LORAINE JOHANNISSON (LCSW-C) – Clinical Social Worker, NPI 1306979901

LINDA LORAINE JOHANNISSON (LCSW-C) is a healthcare provider. based in Chestertown, Maryland. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW-C. They hold a License No. 09266 (MD). The NPI Number for LINDA LORAINE JOHANNISSON (LCSW-C) is 1306979901

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
LINDA LORAINE JOHANNISSON (LCSW-C)
NPI
1306979901
Phone
(410) 778-0835
Address
400 S CROSS ST
Enumeration Date
13 March 2007
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
4688609811
Professional Enrollment ID
I20251124001943
Address ID
FL331301807MI66XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,276 CLINICAL SOCIAL WORKER in MD

Provider Addresses for LINDA LORAINE JOHANNISSON (LCSW-C)

  • 400 S CROSS ST

    SUITE 1B

    CHESTERTOWN, MD 216204752

    Phone: (410) 778-0835

    Fax: (410) 778-0836

    Type: Mailing

  • 2964 PYSELL CROSSCUT RD

    OAKLAND, MD 215504825

    Phone: (240) 321-6136

    Fax: (410) 778-0836

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251124001943IClinical Social WorkerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21620)

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Reviews

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Frequently asked questions

Can I use this page to confirm LINDA LORAINE JOHANNISSON (LCSW-C)'s NPI?
Yes. LINDA LORAINE JOHANNISSON (LCSW-C) is listed with NPI 1306979901 in the public NPI dataset.
Does CMS list LINDA LORAINE JOHANNISSON (LCSW-C) as active?
Yes — LINDA LORAINE JOHANNISSON (LCSW-C) is active in the NPI listing used on this page.
What is LINDA LORAINE JOHANNISSON (LCSW-C) best known for clinically?
Directory data describes LINDA LORAINE JOHANNISSON (LCSW-C) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is LINDA LORAINE JOHANNISSON (LCSW-C) based?
LINDA LORAINE JOHANNISSON (LCSW-C) is tied to Chestertown, Maryland in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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