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Corliss J. Johnson , LSW

Social Worker β€’ Berea, OH

Active NPI 1235656554 Individual Practitioner Female Practitioner
Practice location in NPPES

452 Eastland Rd
Berea, OH 440171217

Call 4402602916 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

452 Eastland Rd

Berea, OH 440171217

Telephone 4402602916

NPI first issued

2017

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 Berea and Ohio

40 active clinicians are listed under Social Worker with a practice address in Berea, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Berea

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 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: 2026-07-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES 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

License # reported to NPPES 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.

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: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2910854 (OH)

Career & Practice History Timeline

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

20 Historical Events
πŸ“
Updated Practice Location July 06, 2026

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

πŸ‘€
Provider Name / Credentials Updated July 06, 2026

Recorded as CORLISS JOHNSON, LSW

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

Social Worker (license number reported to NPPES: OH S1501115)

πŸ“
Updated Practice Location June 04, 2025

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

πŸ“
Updated Business Mailing Address June 04, 2025

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

πŸ“
Updated Practice Location June 13, 2023

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

πŸ“
Updated Business Mailing Address June 13, 2023

Registered at 1801 WATERMARK DR, COLUMBUS, OH 432157088

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

Social Worker (license number reported to NPPES: OH S150115)

πŸ“
Updated Practice Location October 20, 2022

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

πŸ“
Updated Business Mailing Address October 20, 2022

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

πŸ“
Updated Practice Location November 23, 2021

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

πŸ“
Updated Business Mailing Address November 23, 2021

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

πŸ‘€
Provider Name / Credentials Updated November 23, 2021

Recorded as CORLISS FRANCE, LSW

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

Social Worker (license number reported to NPPES: OH S1501115)

βœ…
NPI Profile Active August 28, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 28, 2017

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

πŸ“
Business Mailing Address (Initial Record) August 28, 2017

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

πŸ‘€
Provider Name / Credentials (Initial Record) August 28, 2017

Recorded as CORLISS MAYLE

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

Social Worker (license number reported to NPPES: OH S150115)

🟒
Initial NPI Registration & Enumeration August 28, 2017

First registered as active Individual Practitioner in NPPES Database.

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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

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.