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MR. DWAYNE ARRA JOHNSON SR. LCSW
NPI 1811600745
Social Worker - Clinical in Chicago, IL

Active since January 05, 2023PECOS Enrolled
1276 N CLYBOURN AVE, CHICAGO, IL 60610(312) 337-1073 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Dwayne Arra Johnson Sr. Lcsw NPPES

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

MR. DWAYNE ARRA JOHNSON SR. LCSW (NPI 1811600745) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.024414) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811600745
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DWAYNE ARRA JOHNSON SR.Credential: LCSW
Location Address1276 N CLYBOURN AVEChicago, IL 60610-2003
Mailing Address807 Marion WayChicago Heights, IL 60411-1949 · (773) 676-3675
Phone(312) 337-1073
Sole ProprietorYes
Enumeration DateJanuary 5, 2023
NPPES CertifiedJanuary 5, 2023
✔ NPI 1811600745 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 · 149.024414
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.
1276 N CLYBOURN AVE, Chicago, IL 60610
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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 (PECOS)

Mr. Dwayne Arra Johnson Sr. 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 60610 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

ANDREW KOCH FNP
Nurse Practitioner (Family)
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
NEAR NORTH HEALTH SERVICE CORPORATION
Public Health or Welfare
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (331) 643-5238
LEELA JAIN MD
Pediatrics
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
CHRISTINA SMITH LCSW
Social Worker (Clinical)
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
MS. SYDNEY M JUNION DNP, AGNP-C
Nurse Practitioner
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
JAKESHA ROGERS
Social Worker
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
MRS. SARAH KEHINDE NKWOCHA APN
Nurse Practitioner (Family)
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073
DR. ROBERT SCOTT WALLER PSYD
Psychologist (Clinical)
1276 N CLYBOURN AVE
CHICAGO, IL 60610
Cook County (312) 337-1073

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 Dwayne Johnson's NPI number?

The NPI number for Dwayne Johnson is 1811600745. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Dwayne Johnson located?

Dwayne Johnson practices at 1276 N Clybourn Ave, Chicago, IL 60610. The listed phone number is (312) 337-1073.

What is Dwayne Johnson's specialty?

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

Is Dwayne Johnson enrolled in Medicare?

Yes. Dwayne Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dwayne Johnson was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.