Individual provider · Type 1 NPI

Genevieve Johnson, LSW

Clinical Social Worker · Pueblo, CO

NPI number 1558782870 Active

Practice location

1111 Bonforte Blvd
Pueblo, CO 81001-1801

Mailing address

1 Kalisa Way Ste 101
Paramus, NJ 07652-3508

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Counselor 101YM0800XNone listed

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 1558782870

Genevieve Johnson, LSW's National Provider Identifier is 1558782870, issued on Jan 5, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pueblo, CO. The record was last updated on Nov 2, 2026.