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

James Corye Johnson, LISW

Individual provider Clinical Social Worker · NPI 1073378352

James Corye Johnson, LISW is a Clinical Social Worker in Waterloo, Iowa. Qualified in 2014, 12 years ago. Practices with Cedar Valley Medical Specialists PC, a 76-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
12
Licensed in
IA
In the registry since
2024
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

116 S St
Waterloo, IA 50701-1510
Phone: (319) 830-1610
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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 072343 (IA)

Record details

NPI number1073378352
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedFebruary 16, 2024
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address116 South St, Waterloo, IA 50701-1510

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cedar Valley Medical Specialists Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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