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ROBERTA JOHNSON LCSW
NPI 1104007236
Social Worker - Clinical in Ellsworth, ME

Active since November 16, 2007PECOS EnrolledAccepts Medicare Assignment
204 WATER ST, ELLSWORTH, ME 04605(207) 667-2061 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roberta Johnson Lcsw NPPES

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

ROBERTA JOHNSON LCSW (NPI 1104007236) is an individual clinical provider in Ellsworth, Maine, licensed in Maine (LC11261) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1104007236
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameROBERTA JOHNSONCredential: LCSW
Location Address204 WATER STEllsworth, ME 04605-2038
Mailing Address28 Neils Cove LnStonington, ME 04681-3034 · (207) 367-2991
Phone(207) 667-2061
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 16, 2007
✔ NPI 1104007236 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 ME · LC11261
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.
204 WATER ST, Ellsworth, ME 04605
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roberta Johnson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103989843
PECOS Enrollment IDI20090107000301
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 04605 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 $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL DAVID GOODMAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
204 WATER ST
ELLSWORTH, ME 04605
Hancock County (207) 667-2061
MS. JOYCE E. KILMER LCSW
Social Worker (Clinical)
204 WATER ST
ELLSWORTH, ME 04605
Hancock County (207) 667-2061
MS. EDITH FOLWELL HUDSON LCSW
Social Worker (Clinical)
204 WATER ST
ELLSWORTH, ME 04605
Hancock County (207) 667-2061
MS. JEANNIE LOU LOOS LMSWCC
Social Worker
204 WATER ST
ELLSWORTH, ME 04605
Hancock County (207) 667-2061

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 Roberta Johnson's NPI number?

The NPI number for Roberta Johnson is 1104007236. It was assigned to this individual provider in the NPPES registry on November 16, 2007.

Where is Roberta Johnson located?

Roberta Johnson practices at 204 Water St, Ellsworth, ME 04605. The listed phone number is (207) 667-2061.

What is Roberta Johnson's specialty?

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

Is Roberta Johnson enrolled in Medicare?

Yes. Roberta Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roberta Johnson was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.