Individual provider · Type 1 NPI

Jacey Cole Johnson, LCSW

Clinical Social Worker · Nellis Afb, NV

NPI number 1114322583 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Mailing address

150 S Nevada Highway 160 Ste 8-575
Pahrump, NV 89048-2176

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC010714 (NC)

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 1114322583

Jacey Cole Johnson, LCSW's National Provider Identifier is 1114322583, issued on Oct 28, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nellis Afb, NV. The record was last updated on Mar 19, 2026.