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MISS GRACELYN N JOHNSON LCSW
NPI 1295610103
Social Worker - Clinical in Tremont, IL

Active since August 08, 2025PECOS EnrolledAccepts Medicare Assignment
123 S SAMPSON ST, TREMONT, IL 61568(309) 929-2030 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Gracelyn N Johnson Lcsw NPPES

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

MISS GRACELYN N JOHNSON LCSW (NPI 1295610103) is an individual clinical provider in Tremont, Illinois, licensed in Illinois (149.029744) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295610103
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS GRACELYN N JOHNSONCredential: LCSW
Location Address123 S SAMPSON STTremont, IL 61568-8035
Mailing Address123 S Sampson StTremont, IL 61568-8035 · (336) 909-5946
Phone(309) 929-2030
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1295610103 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 IL · 149.029744
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.
123 S SAMPSON ST, Tremont, IL 61568
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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

Miss Gracelyn N 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 ID4385135763
PECOS Enrollment IDI20251113001659
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 61568 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 3

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

DAGNY MICHEL APN, CNP
Nurse Practitioner (Family)
123 S SAMPSON ST
TREMONT, IL 61568
Tazewell County (309) 929-2030
OCCULT MENTAL HEALTH PLLC
Non-emergency Medical Transport (VAN)
123 S SAMPSON ST
TREMONT, IL 61568
Tazewell County (309) 929-2030
OCCULT MENTAL HEALTH PLLC
Nurse Practitioner
123 S SAMPSON ST
TREMONT, IL 61568
Tazewell County (309) 706-1921

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 Gracelyn Johnson's NPI number?

The NPI number for Gracelyn Johnson is 1295610103. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Where is Gracelyn Johnson located?

Gracelyn Johnson practices at 123 S Sampson St, Tremont, IL 61568. The listed phone number is (309) 929-2030.

What is Gracelyn Johnson's specialty?

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

Is Gracelyn Johnson enrolled in Medicare?

Yes. Gracelyn 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 Gracelyn Johnson was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.