Individual provider · Type 1 NPI

Kelly Anne Johnson, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1043078157 Active

Practice location

233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262

Call (616) 490-3468 Map

Mailing address

930 Wealthy St SE Apt B
Grand Rapids, MI 49506-1589

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801115731 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043078157

Kelly Anne Johnson, LMSW's National Provider Identifier is 1043078157, issued on Mar 12, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 12, 2024.