MR. DAVID ALLEN JOHNSON MSW, LCSW, LCAC,MAC
NPI 1811223407
Social Worker - Clinical in Matteson, IL

Q: What is David Johnson's NPI number?

The NPI number for David Johnson is 1811223407. It was assigned to this individual provider in the NPPES registry on November 2, 2009.

Q: What is David 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 David Johnson was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 November 02, 2009

4801 SOUTHWICK DR STE 300, MATTESON, IL 60443(708) 747-2655(708) 747-2655 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. David Allen Johnson Msw, Lcsw, Lcac,mac NPPES

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

MR. DAVID ALLEN JOHNSON MSW, LCSW, LCAC,MAC (NPI 1811223407) is an individual clinical provider in Matteson, Illinois, licensed in Illinois (149.028252) and active in the NPI registry since November 2009. He maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1811223407

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. DAVID ALLEN JOHNSONCredential: MSW, LCSW, LCAC,MAC

Location Address4801 SOUTHWICK DR STE 300Matteson, IL 60443-2279

Mailing Address3176 Lancer StPortage, IN 46368-4408 · (219) 763-8847 · Fax (219) 762-7318

Phone(708) 747-2655

Fax(708) 747-2655

Sole ProprietorYes

Enumeration DateNovember 2, 2009

Last NPPES UpdateAugust 14, 2025

NPPES CertifiedAugust 14, 2025

✔ NPI 1811223407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.028252

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 87000461A (IN)

Also ListedSocial WorkerTaxonomy 104100000X · License 33007055A (IN)

4801 SOUTHWICK DR STE 300, Matteson, IL 60443

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Secondary Practice Location 1

Location 13176 Lancer StPortage, IN 46368-4408 · Phone (219) 763-8847 · Fax (219) 762-7318

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.

LASHEENE THOMPSON

Community Health Worker