Individual provider · Type 1 NPI

Kyndra Joy Johnson, LISW-CP

Clinical Social Worker · Manning, SC

NPI number 1164136594 Active

Practice location

421 W Boyce St
Manning, SC 29102-2615

Mailing address

418 Drayton St
Manning, SC 29102-2514

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15329 (SC)

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 1164136594

Kyndra Joy Johnson, LISW-CP's National Provider Identifier is 1164136594, issued on Jan 10, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manning, SC. The record was last updated on Jan 10, 2023.