Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235656554 Individual Practitioner Female Practitioner

Corliss J. Johnson , LSW

Social Worker • Berea, OH

Professional Overview & Biography Verified Profile Summary

Corliss Johnson, LSW is a registered healthcare professional specializing in Social Worker in Berea, OH. Practice services are available at 452 EASTLAND RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

452 Eastland Rd

Berea, OH 440171217

Telephone 4402602916

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Berea, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
41 Specialists

Practicing in Berea, OH (11526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S1501115

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

State License OH S150115

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2910854 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Jessica Long , QMHS-BA

Community/Behavioral Health

NPI 1023515020

QMHSBA

Allyson Waddell

Counselor - Mental Health

NPI 1124716337
Grace Poe

Community Health Worker

NPI 1144913849
Amanda Keim

Counselor - Mental Health

NPI 1427919364
Angela Brown , LPCC

Counselor - Professional

NPI 1710328109

Licensed Professional Clinical Counselor

Jacklyn Hofmann , LPCC

Counselor - Professional

NPI 1831511906

Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

20 Historical Events
📍
Updated Practice Location July 06, 2026

Registered at 452 EASTLAND RD, BEREA, OH 440171217 (Tel: 4402602916)

👤
Provider Name / Credentials Updated July 06, 2026

Recorded as CORLISS JOHNSON, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2026

Social Worker (License #S1501115 in OH)

📍
Updated Practice Location June 04, 2025

Registered at 2148 EAGLE PASS STE H, WOOSTER, OH 446915357 (Tel: 3303458970)

📍
Updated Business Mailing Address June 04, 2025

Registered at 2148 EAGLE PASS STE H, WOOSTER, OH 446915357 (Tel: 3303458970)

📍
Updated Practice Location June 13, 2023

Registered at 30 NORTHWEST AVE STE 120, TALLMADGE, OH 442781808 (Tel: 3306334187)

📍
Updated Business Mailing Address June 13, 2023

Registered at 1801 WATERMARK DR, COLUMBUS, OH 432157088

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2023

Social Worker (License #S150115 in OH)

📍
Updated Practice Location October 20, 2022

Registered at 525 METRO PL N STE 100, DUBLIN, OH 430175343 (Tel: 8552891722)

📍
Updated Business Mailing Address October 20, 2022

Registered at 525 METRO PL N STE 100, DUBLIN, OH 430175343 (Tel: 8552891722)

📍
Updated Practice Location November 23, 2021

Registered at 340 S BROADWAY ST, AKRON, OH 443081529 (Tel: 3302533100)

📍
Updated Business Mailing Address November 23, 2021

Registered at 340 S BROADWAY ST, AKRON, OH 443081529 (Tel: 3302533100)

👤
Provider Name / Credentials Updated November 23, 2021

Recorded as CORLISS FRANCE, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2021

Social Worker (License #S1501115 in OH)

NPI Profile Active August 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2017

Registered at 30 NORTHWEST AVE., TALLMADGE, OH 44278 (Tel: (330) 633-4187)

📍
Updated Business Mailing Address August 28, 2017

Registered at 30 NORTHWEST AVE, TALLMADGE, OH 442781808 (Tel: 3306334187)

👤
Provider Name / Credentials Updated August 28, 2017

Recorded as CORLISS MAYLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2017

Social Worker (License #S150115 in OH)

🟢
Initial NPI Registration & Enumeration August 28, 2017

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: 1235656554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2017
Last Update: July 06, 2026
Sole Proprietor: No

Mailing Address

2148 Eagle Pass Ste H

Wooster, OH 446915357

Phone: 3303458970

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.