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

MS. Jennifer Rebecca Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1366455008

MS. Jennifer Rebecca Johnson, LCSW is a Clinical Social Worker in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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

7717 N Orange Prairie Rd
Peoria, IL 61615-9323
Phone: (309) 589-6800
Fax: (309) 589-6993
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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 149.013441 (IL)

Record details

NPI number1366455008
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESApril 11, 2013

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