Individual provider · Type 1 NPI

Kelly Johnson, LCSW

Clinical Social Worker · Lander, WY

NPI number 1366867806 Active

Practice location

7324 Highway 789
Lander, WY 82520

Fax (307) 332-9250

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-471 (WY)

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 1366867806

Kelly Johnson, LCSW's National Provider Identifier is 1366867806, issued on Feb 20, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lander, WY. The record was last updated on Feb 20, 2014.