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CHARLIE-MAE JOHNSON LICSW
NPI 1013871219
Social Worker - Clinical in Waterbury, VT

Active since December 11, 2025PECOS Enrolled
5 PILGRIM PARK RD, WATERBURY, VT 05676(802) 474-1878 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Charlie-mae Johnson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLIE-MAE JOHNSON LICSW (NPI 1013871219) is an individual clinical provider in Waterbury, Vermont, licensed in Vermont (089.0136799PROV) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013871219
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLIE-MAE JOHNSONCredential: LICSW
Location Address5 PILGRIM PARK RDWaterbury, VT 05676-1735
Mailing Address324 Dalton RdDalton, NH 03598-5723
Phone(802) 474-1878
Sole ProprietorYes
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1013871219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VT · 089.0136799PROV
Definition
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.
5 PILGRIM PARK RD, Waterbury, VT 05676
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlie-mae Johnson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05676 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.80 – $168.48
Typical copayment $0.00 (range $13.95 – $42.12)
Most-billed visit code NA
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlie-mae Johnson's NPI number?

The NPI number for Charlie-mae Johnson is 1013871219. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Charlie-mae Johnson located?

Charlie-mae Johnson practices at 5 Pilgrim Park Rd, Waterbury, VT 05676. The listed phone number is (802) 474-1878.

What is Charlie-mae Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Charlie-mae Johnson enrolled in Medicare?

Yes. Charlie-mae Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlie-mae Johnson was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.