Individual provider · Type 1 NPI

Kyle Raymond Johnson

Clinical Social Worker · Klamath Falls, OR

NPI number 1467043513 Active

Practice location

2210 N Eldorado Ave
Klamath Falls, OR 97601-6418

Other practice locations

  • 11740 SW 68th Pkwy Ste 200, Tigard, OR 97223-9058 · (971) 352-6971

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL16621 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X23-11-10964 (OR)

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 1467043513

Kyle Raymond Johnson's National Provider Identifier is 1467043513, issued on Feb 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Klamath Falls, OR. The record was last updated on Jun 30, 2025.