Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CORLISS J. JOHNSON LSW
NPI 1235656554
Social Worker in Berea, OH

Active since August 28, 2017
452 EASTLAND RD, BEREA, OH 44017(440) 260-2916 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2026, Jun 4, 2025, Jun 13, 2023 and 5 more (8 updates tracked since 2017).

About Corliss J. Johnson Lsw NPPES

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

CORLISS J. JOHNSON LSW (NPI 1235656554) is an individual social worker in Berea, Ohio, licensed in Ohio (S1501115) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1235656554
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCORLISS J. JOHNSONCredential: LSW
Location Address452 EASTLAND RDBerea, OH 44017-1217
Mailing Address2148 Eagle Pass Ste HWooster, OH 44691-5357 · (330) 345-8970
Sole ProprietorNo
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 6, 20268 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1235656554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses Licensed in OH · S1501115 Licensed in OH · S150115
Definition

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.

452 EASTLAND RD, Berea, OH 44017

Other Identifiers 1

Medicaid2910854OH

Other Providers at the Same Location NPPES 2

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

Community Health Worker
452 EASTLAND RD
BEREA, OH 44017
Community Health Worker
452 EASTLAND RD
BEREA, OH 44017

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 Corliss Johnson's NPI number?

The NPI number for Corliss Johnson is 1235656554. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Corliss Johnson located?

Corliss Johnson practices at 452 Eastland Rd, Berea, OH 44017. The listed phone number is (440) 260-2916.

What is Corliss Johnson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Corliss Johnson was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.