Mr. Dwayne Arra Johnson Sr. (NPI# 1811600745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1811600745 |
| Entity Type | Individual |
| Full Name | Mr. Dwayne Arra Johnson Sr. |
| Credential | LCSW |
| Gender | Male |
| Practice Address |
1276 N Clybourn Ave Chicago IL 60610-2003 |
| Practice Telephone | 3123371073 |
| Mailing Address |
807 Marion Way Chicago Heights IL 60411-1949 |
| Mailing Telephone | 7736763675 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 1041C0700X | Social Worker · Clinical | Behavioral Health & Social Service Providers | 149.024414 | IL |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407503378 | Dwayne E Johnson | Jfk Senior Center, 429 Jfk Way, Willingboro, NJ 08046 | 2022-03-09 | |
| 1366923658 | Dwayne Anthony Johnson Jr. | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2018-08-24 | |
| 1841379187 | Dwayne Edward Johnson | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2006-11-06 |
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457065260 | Stephen C Young | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2023-01-06 | |
| 1316651284 | Keila N Mexicano | 5133 W Carmen Ave # 1, Chicago, IL 60630-2323 | 2023-01-05 | |
| 1932813805 | Victoria Smith | 155 N Michigan Ave Ste 380, Chicago, IL 60601-7710 | 2023-01-05 | |
| 1972216901 | Maria Lynn Osmanski | 303 E Wacker Dr, Chicago, IL 60601-5212 | 2023-01-04 | |
| 1215640453 | Isabel Marie Longwell | 155 N Michigan Ave Ste 201, Chicago, IL 60601-7940 | 2023-01-03 | |
| 1881307940 | Fulcrum Counseling LLC | 6830 N Ashland Blvd Apt 3, Chicago, IL 60626-6705 | 2023-01-03 | |
| 1922711464 | Maureen Claire Faydash | 2242 W Roscoe St Unit 1, Chicago, IL 60618-6390 | 2022-12-29 | |
| 1821701558 | Cori Braun | 2835 N Sheffield Ave Ste 401, Chicago, IL 60657-5084 | 2022-12-27 | |
| 1902518756 | Elizabeth Weiss | 661 W Lake St Ste 2s, Chicago, IL 60661-1034 | 2022-12-22 | |
| 1144932138 | Beren Karlson-hinton | 4588 N Elston Ave Apt 303, Chicago, IL 60630-4267 | 2022-12-21 | |
| Find all providers in CHICAGO | ||||
| Street Address |
1276 N CLYBOURN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033838214 | Near North Health Service Corporation | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2022-08-23 | |
| 1952035123 | Near North Health Service Corporation | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2022-07-13 | |
| 1942951553 | Virginia Mary Hutton | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2022-01-14 | |
| 1750044194 | Laura Mcintosh | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2021-10-21 | |
| 1104597491 | Pascale Daou | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2021-09-26 | |
| 1093311813 | Agata A Zemla | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2020-12-07 | |
| 1821695487 | Ada Yanci Lemus I | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2020-10-07 | |
| 1578127684 | Gerald Santangelo | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2019-04-24 | |
| 1326514365 | Near North Health Service Corporation | 1276 N Clybourn Ave, Chicago, IL 60610-2003 | 2018-10-17 | |
| 1720563695 | Angie Oliver | 1276 N Clybourn Ave, Chicago, IL 60610-2089 | 2018-09-26 | |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174237945 | Anne Kirsti Decore | 1165 N Clark St Ste 411, Chicago, IL 60610-7473 | 2023-01-06 | |
| 1083325542 | Dawonderyears II Inc | 47 W Division St Unit 211, Chicago, IL 60610-2954 | 2022-12-06 | |
| 1437869062 | River North Surgery Center, LLC | 361 W Chestnut St Ste 100, Chicago, IL 60610-3050 | 2022-12-05 | |
| 1265142129 | Down There Urology, Pllc | 1030 N Clark St Ste 310, Chicago, IL 60610-5413 | 2022-12-01 | |
| 1689381790 | All Access Dietitians Pllc | 1163 N State St, Chicago, IL 60610-2722 | 2022-10-31 | |
| 1083330310 | Bounce Cuisine LLC | 55 W Goethe St Unit 1251, Chicago, IL 60610-7428 | 2022-10-18 | |
| 1164148912 | Nadia Lelikov | 1500 N Clybourn Ave Unit C104, Chicago, IL 60610-2295 | 2022-10-13 | |
| 1003532714 | Jennifer Westerkamp | 1163 N State St, Chicago, IL 60610-2722 | 2022-10-13 | |
| 1649995952 | Yuliana Nalysnyk | 1165 N Clark St, Chicago, IL 60610-2702 | 2022-10-10 | |
| 1750006508 | Clare Kramer | 1030 N Clark St, Chicago, IL 60610-5467 | 2022-10-04 | |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.