Individual provider · Type 1 NPI

Katie Johnson, LCSW

Clinical Social Worker · Marion, IL

NPI number 1306322110 Active

Practice location

2401 W Main St
Marion, IL 62959-1188

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.018073 (IL)

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 1306322110

Katie Johnson, LCSW's National Provider Identifier is 1306322110, issued on Jul 15, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, IL. The record was last updated on Sep 12, 2024.