Individual provider · Type 1 NPI
Keydra Johnson
Clinical Social Worker · Washington, DC
Practice location
611 Pennsylvania Ave SE # 415
Washington, DC 20003-4303
Mailing address
5711 Baltimore Ave Apt 304
Hyattsville, MD 20781-1670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 095315 (NY) |
| Clinical Social Worker Primary | 1041C0700X | LC200002602 (DC) |
| Social Worker | 104100000X | LG50083757 (DC) |
| Social Worker | 104100000X | 103962 (NY) |
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 1891363099
Keydra Johnson's National Provider Identifier is 1891363099, issued on Jun 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on May 18, 2023.