Individual provider · Type 1 NPI

Kimberlie Jo Johnson

Clinical Social Worker · Provo, UT

NPI number 1104463694 Active

Practice location

1881 N 1120 W
Provo, UT 84604-1180

Call (435) 248-2089 Map

Fax (801) 207-5104

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1104463694

Kimberlie Jo Johnson's National Provider Identifier is 1104463694, issued on Dec 4, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Provo, UT. The record was last updated on Apr 9, 2026.