KATHERINE JOHNSON (LCSW) – Social Worker, NPI 1194282343
Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KATHERINE JOHNSON (LCSW)
2239 E COOK ST
SPRINGFIELD, IL 627031944
Phone: (217) 788-2300
Fax: (217) 788-2343
Type: Mailing
2323 STEVENSON DR
SPRINGFIELD, IL 627034331
Phone: (217) 529-9266
Type: Location
55 East Jackson, 55, East Jackson Boulevard, Printer's Row, Loop, Chicago, Cook County, Illinois, 60604, United States
CHICAGO, IL 606044137
Phone: (312) 663-1130
Fax: (312) 663-0504
Type: Mailing
205 OAKLAND AVE
CARLINVILLE, IL 626261921
Phone: (217) 854-3223
Type: Mailing
805 SAINT FRANCIS WAY
LITCHFIELD, IL 620561779
Phone: (217) 839-4141
Type: Location
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: 2021-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210610000142 | I | Clinical Social Worker | IL | TBD |
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.
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 62703)
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