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

Miss. Gracelyn N Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1295610103

Miss. Gracelyn N Johnson, LCSW is a Clinical Social Worker in Tremont, Illinois. Qualified in 2023, 3 years ago. Practices with Occult Mental Health PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2025
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

123 S Sampson St
Tremont, IL 61568-8035
Phone: (309) 929-2030
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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 149.029744 (IL)

Record details

NPI number1295610103
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

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)
Group practice Occult Mental Health Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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