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Active NPI 1255716205 Individual Practitioner Female Practitioner

Nisa Johnson

Social Worker - Clinical • Normal, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nisa Johnson is a certified Social Worker - Clinical practicing in Normal, IL. With approximately 23 years of clinical experience since completing medical education in 2003, Nisa Johnson delivers high-quality medical care to the local community at 1100 BEECH ST BLDG 10-1.

Nisa Johnson accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Beech St Bldg 10-1

Normal, IL 617611568

Telephone 3097500415
Associated Practice Facility / Clinic
🏢 Nisa Johnson Counseling Llc Facility NPI 1295469559

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Normal, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs -3.2 yrs vs City Avg
City Avg: 26.2 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
55 Specialists

Practicing in Normal, IL (14000 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (23 Years) 23 Yrs
Normal Specialty Average (26.2 Years) 26.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
254 12 $150.00 $110.65

Medical Specialties & State Licenses

CMS Verified: 2022-10-24
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IL 149017179

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 24, 2022

Registered at 1100 BEECH ST BLDG 10-1, NORMAL, IL 617611568 (Tel: 3097500415)

📍
Updated Business Mailing Address October 24, 2022

Registered at 1100 BEECH ST BLDG 10-1, NORMAL, IL 617611568 (Tel: 3097500415)

NPI Profile Active July 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2015

Registered at 108 W MARKET ST, BLOOMINGTON, IL 617013918 (Tel: 3098275351)

📍
Updated Business Mailing Address July 20, 2015

Registered at 108 W MARKET ST, BLOOMINGTON, IL 617013918 (Tel: 3098275351)

👤
Provider Name / Credentials Updated July 20, 2015

Recorded as NISA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2015

Social Worker (License #149017179 in IL)

🟢
Initial NPI Registration & Enumeration July 20, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255716205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2015
Last Update: October 24, 2022
Sole Proprietor: Yes

Mailing Address

1100 Beech St Bldg 10-1

Normal, IL 617611568

Phone: 3097500415

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.