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

MS. Carolyn Nicole Johnson, LSW

Individual provider Social Worker · NPI 1982890562

MS. Carolyn Nicole Johnson, LSW is a Social Worker in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

202 W Park Ave
Champaign, IL 61820-3929
Phone: (217) 373-2428
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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 150.105981 (IL)
Social Worker Taxonomy 104100000X

Record details

NPI number1982890562
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedSeptember 18, 2007
Last updated in NPPESFebruary 19, 2022
Certification dateFebruary 19, 2022

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