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

Jada Johnson

Individual provider Social Worker · NPI 1164291985

Jada Johnson is a Clinical Social Worker in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Lifepath Therapy Associates, LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

710 S Paulina St Ste 438
Chicago, IL 60612-3808
Phone: (312) 942-1957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150.109994 (IL)

Record details

NPI number1164291985
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address6829 S Claremont Ave, Chicago, IL 60636-3138

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lifepath Therapy Associates, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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