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

Alysa Harless Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1235590258

Alysa Harless Johnson, LCSW is a Clinical Social Worker in Penn Valley, California. Qualified in 2012, 14 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

14011 Lodgepole Ct
Penn Valley, CA 95946-9128
Phone: (906) 407-0047
Fax: (916) 405-4002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 — (530) 634-4662
  • 100 Prison Rd, Represa, CA 95671-3000 — (916) 985-8610

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 77484 (CA)

Record details

NPI number1235590258
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 18, 2016
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

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)
Accepts Medicare assignment Not indicated

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