Individual ProviderMorgan JohnsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address119 W 1st St, Dixon, IL 61021-3056(815) 285-3073(815) 535-6131PECOS EnrollmentBased on the most recent information from CMS, provider Morgan Johnson is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1497421481Provider TypeIndividualFull NameJohnson, MorganCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date8/19/2021Last Updated11/20/2023Contact InformationPractice LocationPractice Address119 W 1st St, Dixon, IL 61021-3056Phone(815) 285-3073FaxUnlisted FaxMailing LocationMailing Address17315 Hickory Hills Rd, Sterling, IL 61081-9311Phone(815) 535-6131FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense107048TexasCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149023664Illinois