Individual provider · Type 1 NPI

Keya Johnson, LCSW, CCTP, CSOTP

Clinical Social Worker · Norcross, GA

NPI number 1114346061 Active

Practice location

1770 Indian Trail Rd, Suite 140
Norcross, GA 30093-2627

Fax (866) 282-7377

Mailing address

780 Morosgo Dr NE #14614
Atlanta, GA 30324-9840

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X19722 (MD)
Clinical Social Worker Primary 1041C0700XCSW006294 (GA)

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 1114346061

Keya Johnson, LCSW, CCTP, CSOTP's National Provider Identifier is 1114346061, issued on Apr 8, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Norcross, GA. The record was last updated on Jan 11, 2019.