KELLY ANNE JOHNSON LMSW
NPI 1043078157
Social Worker - Clinical in Grand Rapids, MI

Active since March 12, 2024PECOS Enrolled
233 FULTON ST E STE 222, GRAND RAPIDS, MI 49503(616) 490-3468 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Anne Johnson Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANNE JOHNSON LMSW (NPI 1043078157) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801115731) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043078157
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ANNE JOHNSONCredential: LMSW
Location Address233 FULTON ST E STE 222Grand Rapids, MI 49503-3262
Mailing Address930 Wealthy St Se Apt BGrand Rapids, MI 49506-1589 · (616) 690-3034
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
NPI 1043078157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801115731
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

233 FULTON ST E STE 222, Grand Rapids, MI 49503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Anne Johnson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658867650
PECOS Enrollment IDI20251229003598
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
233 FULTON ST E STE 222
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
233 FULTON ST E STE 222
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
233 FULTON ST E STE 222
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
233 FULTON ST E STE 222
GRAND RAPIDS, MI 49503
Social Worker
233 FULTON ST E STE 222
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
233 FULTON ST E STE 222
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
233 FULTON ST E STE 222
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
233 FULTON ST E STE 222
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1043078157. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Kelly Johnson located?

Kelly Johnson practices at 233 Fulton St E Ste 222, Grand Rapids, MI 49503. The listed phone number is (616) 490-3468.

What is Kelly Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Johnson enrolled in Medicare?

Yes. Kelly Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Johnson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kelly Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Johnson was last updated on March 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.