Individual provider · Type 1 NPI

Keniesha Johnson, LCSW

Clinical Social Worker · Bloomfield, CT

NPI number 1194253039 Active

Practice location

4 Banfield Ln
Bloomfield, CT 06002-2807

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X008593 (CT)

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 1194253039

Keniesha Johnson, LCSW's National Provider Identifier is 1194253039, issued on May 23, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomfield, CT. The record was last updated on May 23, 2017.