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David Allen Johnson , MSW, LCSW, LCAC, MAC

Social Worker - Clinical β€’ Matteson, IL

Active NPI 1811223407 Individual Practitioner Male Practitioner
Practice location in NPPES

4801 Southwick Dr Ste 300
Matteson, IL 604432279

Call 7087472655 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4801 Southwick Dr Ste 300

Matteson, IL 604432279

Telephone 7087472655
Fax 7087472655
Organization at the Same NPPES Address or Phone
National Youth Advocate Program Facility NPI 1275344939

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Portage, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Matteson and Illinois

38 active clinicians are listed under Social Worker - Clinical with a practice address in Matteson, IL (13,643 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Matteson

2.6% of these 38 clinicians have the CMS telehealth indicator.

10.5% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-14
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES IL 149.028252

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES IN 87000461A
Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES IN 33007055A

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

3176 Lancer St

Portage, IN 463684408

Phone: 2197638847

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 14, 2025

Registered at 4801 SOUTHWICK DR STE 300, MATTESON, IL 604432279 (Tel: 7087472655)

πŸ‘€
Provider Name / Credentials Updated August 14, 2025

Recorded as DAVID JOHNSON, MSW, LCSW, LCAC,MAC

βœ…
NPI Profile Active September 04, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 04, 2014

Registered at 3176 LANCER ST, PORTAGE, IN 463684408 (Tel: 2197638847)

πŸ“
Business Mailing Address (Initial Record) September 04, 2014

Registered at 3176 LANCER ST, PORTAGE, IN 463684408 (Tel: 2197638847)

πŸ‘€
Provider Name / Credentials (Initial Record) September 04, 2014

Recorded as DAVID JOHNSON, MSW, LSW, LCAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2014

Counselor (license number reported to NPPES: IN 87000461A)

🟒
Initial NPI Registration & Enumeration November 02, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811223407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2009
Last Update: August 14, 2025
Sole Proprietor: Yes

Mailing Address

3176 Lancer St

Portage, IN 463684408

Phone: 2197638847

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.