MRS. DEBORAH SUZANNE JOHNSON LCSW
NPI 1649333444
Social Worker - Clinical in Lakeport, CA

Q: What is Deborah Johnson's NPI number?

The NPI number for Deborah Johnson is 1649333444. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Deborah Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deborah Johnson was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 19, 2006PECOS Enrolled

925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382(707) 263-0329 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2018, Jul 6, 2018 (2 updates tracked since 2018).

On this page

About Mrs. Deborah Suzanne Johnson Lcsw NPPES

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

MRS. DEBORAH SUZANNE JOHNSON LCSW (NPI 1649333444) is an individual clinical provider in Lakeport, California, licensed in California (62395) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1649333444

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. DEBORAH SUZANNE JOHNSONCredential: LCSW

Location Address925 BEVINS CTLakeport, CA 95453-9754

Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8382 · Fax (707) 263-0329

Phone(707) 263-8382

Fax(707) 263-0329

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 19, 2006

Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration

NPPES CertifiedAugust 1, 2025

✔ NPI 1649333444 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 CA · 62395

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.

925 BEVINS CT, Lakeport, CA 95453

Open in Google Maps ↗

Secondary Practice Locations 2

Location 16300 E Hwy. 20Lucerne, CA 95458 · Phone (707) 274-9299

Location 215850 A Dam RoadClearlake, CA 95422 · Phone (707) 994-6447 ext. 2914 · Fax (707) 994-1875

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Deborah Suzanne Johnson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638617533

PECOS Enrollment IDI20240809001643

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.

Medicare Billing Reassignment

Medicare enrollment records show Deborah Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake County Tribal Health Consortium Inc.

Same address

Federally Qualified Health Center (FQHC)

925 BEVINS CT
Lakeport, CA 95453

Reassigned Medicare billing, California enrollment
59 clinicians in this Medicare group

NPI 1881697381 (707) 263-8382

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 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 $58.87 – $176.60

Typical copayment $0.00 (range $14.71 – $44.15)

Most-billed visit code NA

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 20

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

MERRILL FEATHERSTONE MFC

Counselor (Mental Health)