KETTELY JEANNE JOHNSON LCSW
NPI 1114845385
Social Worker - Clinical in Fayetteville, GA
About Kettely Jeanne Johnson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETTELY JEANNE JOHNSON LCSW (NPI 1114845385) is an individual clinical provider in Fayetteville, Georgia, licensed in Georgia (CSW004568) and active in the NPI registry since July 2026.
NPPES Registry Identity
Specialties & Licenses
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 Kettely Johnson's NPI number?
The NPI number for Kettely Johnson is 1114845385. It was assigned to this individual provider in the NPPES registry on July 7, 2026.
Where is Kettely Johnson located?
Kettely Johnson practices at 510 Thatch Ter, Fayetteville, GA 30214. The listed phone number is (470) 471-5708.
What is Kettely Johnson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Kettely Johnson was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.