JENNIFER R A JOHNSON LCSW
NPI 1649779224
Social Worker - Clinical in Portland, ME

Active since February 08, 2018PECOS Enrolled
216 VAUGHAN ST, PORTLAND, ME 04102(207) 662-2221(207) 810-2367 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer R A Johnson Lcsw NPPES

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

JENNIFER R A JOHNSON LCSW (NPI 1649779224) is an individual clinical provider in Portland, Maine, licensed in Maine (LC19250) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in South Portland.

NPPES Registry Identity

NPI1649779224
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER R A JOHNSONCredential: LCSW
Location Address216 VAUGHAN STPortland, ME 04102-3204
Mailing Address216 Vaughan StPortland, ME 04102-3204 · (207) 662-2221 · Fax (207) 810-2367
Fax(207) 810-2367
Sole ProprietorNo
Enumeration DateFebruary 8, 2018
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
NPI 1649779224 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 · LC19250
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.

216 VAUGHAN ST, Portland, ME 04102

Secondary Practice Location 1

Location 1135 Westbrook StSouth Portland, ME 04106 · Phone (208) 691-1333

Other Identifiers 1

OtherLM16867ME · State Of Maine Master Of Social Work

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer R A Johnson Lcsw 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 04102 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

Psychiatry & Neurology (Psychiatry)
216 VAUGHAN ST
PORTLAND, ME 04102
Nurse Practitioner (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Psychologist
216 VAUGHAN ST
PORTLAND, ME 04102
Psychologist (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Nurse Practitioner (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Clinical Nurse Specialist (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Psychologist
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649779224, enumerated as an "individual" on February 08, 2018.

The provider is located at 216 VAUGHAN ST PORTLAND, ME 04102 and the phone number is (207) 662-2221.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Harvard Pilgrim Health Care, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.