Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia A Johnson, LISW, ICDC

Individual provider Clinical Social Worker · NPI 1952726556

Alicia A Johnson, LISW, ICDC is a Clinical Social Worker in Lebanon, Ohio. Qualified in 2012, 14 years ago. Practices with Modern Psychiatry and Wellness LLC, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2014
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

975 Kingsview Dr Bldg A
Lebanon, OH 45036-9562
Phone: (513) 228-7800
Fax: (513) 228-7846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I-1600108 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ICDC-151043 (OH)

Record details

NPI number1952726556
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW , ICDC
Sole proprietorNo
NPI enumeratedFebruary 19, 2014
Last updated in NPPESApril 12, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Modern Psychiatry And Wellness Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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