Individual provider · Type 1 NPI

Kimberly Petrae Johnson, LCSW

Clinical Social Worker · Georgetown, KY

NPI number 1679705479 Active

Practice location

137 E Main St
Georgetown, KY 40324-1786

Call (859) 312-6400 Map

Mailing address

315 N Broadway St
Georgetown, KY 40324-1305

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	3292 (KY)

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 1679705479

Kimberly Petrae Johnson, LCSW's National Provider Identifier is 1679705479, issued on Aug 13, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Georgetown, KY. The record was last updated on Jul 21, 2022.