Alysa Harless Johnson, LCSW
NPI 1235590258ActiveIndividual· Social Worker, Clinical· Penn Valley, CA
Social Worker, Clinical (LCSW) in Penn Valley, California, licensed in CA, with an NPI issued in March 2016. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1235590258 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Mar 18, 2016 |
| Last updated in NPPES | Mar 9, 2022 |
| Certified by provider | Mar 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 77484 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CA) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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