CHAVONN M JOHNSON (LCSW-S, LCDC-I, CCM) – Clinical Social Worker, NPI 1972977189
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHAVONN M JOHNSON (LCSW-S, LCDC-I, CCM)
3201 Matlock Rd Ste 350
Arlington, TX 760152954
Phone: (864) 336-2731
Fax: (833) 740-3387
Type: Location
1825 W WALNUT HILL LN
SUITE 120
IRVING, TX 750383218
Phone: (214) 989-7492
Type: Mailing
2025 Guadalupe St Ste 260
Austin, TX 787055642
Phone: (864) 336-2731
Fax: (833) 740-8387
Type: Location
2425 CLAYTON OAKS DR
GRAND PRAIRIE, TX 750524101
Phone: (817) 760-0481
Type: Mailing
733 HIGHWAY 287 N STE 311
MANSFIELD, TX 760632765
Phone: (817) 914-3251
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: 2023-02-10
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 |
|---|---|---|---|---|
| I20230210001345 | I | Clinical Social Worker | TX | 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 76015)
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