HEATHER JOHNSON – Clinical Social Worker, NPI 1093179236

HEATHER JOHNSON is a healthcare provider. based in Mansfield, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 1101045 (OH). The NPI Number for HEATHER JOHNSON is 1093179236

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER JOHNSON
NPI
1093179236
Phone
(419) 522-6191
Address
600 W 3RD ST
Enumeration Date
13 April 2016
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
8628368495
Group Practice PAC ID
2365423977
Professional Enrollment ID
I20160607001086
Address ID
OH449062633Ma1404XWXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for HEATHER JOHNSON

  • 600, West 3rd Street, Mansfield, Richland County, Ohio, 44906, United States

    MANSFIELD, OH 449062633

    Phone: (419) 522-6191

    Fax: (419) 525-6723

    Mailing address matches the actual address.

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: 2016-06-07

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
I20160607001086IClinical Social WorkerOHTBD

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 44906)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365423977View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Family PracticeOH
-OH
P O D I A T R YOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What NPI should I save for HEATHER JOHNSON?
Save NPI 1093179236 if you need a stable reference for HEATHER JOHNSON.
Is HEATHER JOHNSON active in the national directory?
HEATHER JOHNSON's public NPI profile is in an active state.
Does HEATHER JOHNSON list a primary specialty?
If you are matching referrals, note Clinical Social Worker for HEATHER JOHNSON. Clinical services aligned with this taxonomy classification.
What location shows for HEATHER JOHNSON?
We surface Mansfield, Ohio for HEATHER JOHNSON based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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