MR. KENNETH L JOHNSON III LSW
NPI 1174976310
Social Worker - Clinical in Philadelphia, PA

Active since July 22, 2016
2305 FAIRMOUNT AVE, PHILADELPHIA, PA 19130(267) 307-2696 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth L Johnson Iii Lsw NPPES

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

MR. KENNETH L JOHNSON III LSW (NPI 1174976310) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SW131341) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1174976310
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENNETH L JOHNSON IIICredential: LSW
Location Address2305 FAIRMOUNT AVEPhiladelphia, PA 19130-2515
Mailing Address7804 Thouron AvePhiladelphia, PA 19150-2514 · (267) 307-2696
Sole ProprietorYes
Enumeration DateJuly 22, 2016
NPI 1174976310 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 PA · SW131341
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.
2305 FAIRMOUNT AVE, Philadelphia, PA 19130

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
2305 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Counselor
2305 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Social Worker
2305 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Social Worker (Clinical)
2305 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Social Worker (Clinical)
2305 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Counselor
2305 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Social Worker (Clinical)
2305 FAIRMOUNT AVE
PHILADELPHIA, PA 19130

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 Kenneth Johnson's NPI number?

The NPI number for Kenneth Johnson is 1174976310. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Kenneth Johnson located?

Kenneth Johnson practices at 2305 Fairmount Ave, Philadelphia, PA 19130. The listed phone number is (267) 307-2696.

What is Kenneth 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 Kenneth Johnson was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.