Individual provider · Type 1 NPI

Kurt M. Johnson, LCSW

Clinical Social Worker · Phenix City, AL

NPI number 1134465263 Active

Practice location

1606 Broad St
Phenix City, AL 36867-5081

Mailing address

3700 Bridgewater Rd Apt C8
Columbus, GA 31909-6309

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149.014379 (IL)
Clinical Social Worker Primary 1041C0700X4127C (AL)

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 1134465263

Kurt M. Johnson, LCSW's National Provider Identifier is 1134465263, issued on Dec 18, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phenix City, AL. The record was last updated on Oct 21, 2018.