Individual provider · Type 1 NPI

Kenyatta Nicole Johnson, LCSW-P

Clinical Social Worker · Holly Springs, NC

NPI number 1740510221 Active

Practice location

4006 Lassiter Rd
Holly Springs, NC 27540-4367

Mailing address

4006 Lassiter Road
Hollysprings, NC 27540

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP005000 (NC)

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 1740510221

Kenyatta Nicole Johnson, LCSW-P's National Provider Identifier is 1740510221, issued on Jan 6, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holly Springs, NC. The record was last updated on Jan 6, 2010.