Nisa Johnson
Clinical Social Worker · Normal, IL
Practice location
1100 Beech St Bldg 10-1Normal, IL 61761-1568
- Phone
- (309) 750-0415
NPI record
- NPI
- 1255716205
- Entity type
- Individual (Type 1)
- Enumeration date
- July 20, 2015
- Last updated
- October 24, 2022
- Certified
- October 24, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
149017179 | IL |
About Nisa Johnson
Nisa Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1100 Beech St Bldg 10-1, Normal, IL 61761-1568. The NPI number 1255716205 was assigned on July 20, 2015 and the record was last updated on October 24, 2022.
Nisa Johnson lists a license in the registry: #149017179 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Nisa Johnson?
The NPI number is 1255716205.
What is the phone number of Nisa Johnson?
The phone number listed for the practice location is (309) 750-0415.
Where is Nisa Johnson located?
1100 Beech St Bldg 10-1, Normal, IL 61761-1568.
What is the taxonomy code for Nisa Johnson?
The primary taxonomy code is 1041C0700X – Clinical Social Worker.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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