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

Heather Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1316714223

Heather Johnson, LCSW is a Clinical Social Worker in Beloit, Wisconsin. Qualified in 2023, 3 years ago. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

540 E Grand Ave
Beloit, WI 53511-6314
Phone: (608) 368-8087
Fax: (608) 312-2061
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12449-123 (WI)

Record details

NPI number1316714223
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address540 E Grand Ave, Beloit, WI 53511-6314

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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