PERNILLA L JOHANSSON (LCSW) – Clinical Social Worker, NPI 1114951159

PERNILLA L JOHANSSON (LCSW) is a healthcare provider. based in Florence, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 3060 (OR). The NPI Number for PERNILLA L JOHANSSON (LCSW) is 1114951159

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
PERNILLA L JOHANSSON (LCSW)
NPI
1114951159
Phone
(541) 902-0408
Address
1525 12th St Ste 22
Enumeration Date
10 July 2006
Last Update Date
24 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413055804
Graduation Year
1996 (30 years ago)
PAC ID
4486779832
Professional Enrollment ID
I20100909000195
Address ID
OR97439XXXXFLXXXXXXXXXX00
Telehealth
Yes

Contacts

Other Endpoint
pennyjo2020@yahoo.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,405 CLINICAL SOCIAL WORKER in OR

Provider Addresses for PERNILLA L JOHANSSON (LCSW)

  • 1525 12th St Ste 22

    Florence, OR 974398487

    Phone: (541) 902-0408

    Fax: (541) 902-7533

    Type: Location

  • 1890 Waite St Ste 1

    North Bend, OR 974591229

    Phone: (541) 435-7033

    Type: Location

  • 5460 BROWNINGS CORNERS RD

    FLORENCE, OR 974398849

    Phone: (541) 305-5804

    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: 2010-09-09

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
I20100909000195IClinical Social WorkerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour39430$0
90834Psychotherapy, 45 minutes5416$0
90832Psychotherapy, 30 minutes1812$0
90791Psychiatric diagnostic evaluation1616$0
View full utilization report →

Insurance plans in this area (ZIP 97439)

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Reviews

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Frequently asked questions

Can I cross-check PERNILLA L JOHANSSON (LCSW) using NPI 1114951159?
NPI 1114951159 belongs to PERNILLA L JOHANSSON (LCSW); compare other details if you need extra assurance.
Would PERNILLA L JOHANSSON (LCSW) appear as active to a payer?
You can treat PERNILLA L JOHANSSON (LCSW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is PERNILLA L JOHANSSON (LCSW)?
PERNILLA L JOHANSSON (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for PERNILLA L JOHANSSON (LCSW)?
Travel planning: use Florence, Oregon as the reference point for PERNILLA L JOHANSSON (LCSW), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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