Alysa Johnson, LCSW
NPI 1235590258 · Clinical Social Worker · Penn Valley, CA
Enrolled with Medicare as Order and Referring Only - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alysa Johnson, LCSW is a Clinical Social Worker provider in Penn Valley, CA (NPI 1235590258).
Provider details
- NPI number
- 1235590258
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 77484 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 15301 Warren Shingle RdBeale Afb, CA 95903-1907Phone: (530) 634-4662
- 100 Prison RdRepresa, CA 95671-3000Phone: (916) 985-8610
Registry dates
- Enumerated
- 2016-03-18
- Last updated
- 2022-03-09
- Certified
- 2022-03-09
Frequently asked questions
- What is Alysa Johnson's NPI number?
- Alysa Johnson's National Provider Identifier (NPI) is 1235590258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alysa Johnson's specialty?
- Alysa Johnson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Alysa Johnson located?
- Alysa Johnson's practice location on file with NPPES is 14011 Lodgepole Ct, Penn Valley, CA 95946-9128.
- What is Alysa Johnson's phone number?
- The practice phone number listed in the NPPES registry for Alysa Johnson is (906) 407-0047.
- Does Alysa Johnson accept Medicare?
- Alysa Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alysa Johnson's NPI active?
- Yes — Alysa Johnson's NPI (1235590258) is active in the NPPES registry as of the last update on 2022-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.