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KELLY JOHNSON
NPI 1194107912
Social Worker - Clinical in Hill Afb, UT

Active since June 29, 2015
75 MDG, MENTAL HEALTH CLINIC, 7309 BALMER STREET, BLDG 545, HILL AFB, UT 84056(801) 777-7909 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 31, 2019, Apr 10, 2018 (2 updates tracked since 2018).

About Kelly Johnson NPPES

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

KELLY JOHNSON (NPI 1194107912) is an individual clinical provider in Hill Afb, Utah, licensed in Vermont (089.0114986) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1194107912
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY JOHNSON
Location Address75 MDG, MENTAL HEALTH CLINIC, 7309 BALMER STREET, BLDG 545Hill Afb, UT 84056
Mailing Address325 Mdg, 340 Magnolia CircleTyndall Afb, FL 32403 · (850) 283-7511
Phone(801) 777-7909
Sole ProprietorNo
Enumeration DateJune 29, 2015
Last NPPES UpdateJanuary 31, 20192 updates tracked since enumeration
✔ NPI 1194107912 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 VT · 089.0114986
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.
75 MDG, MENTAL HEALTH CLINIC, Hill Afb, UT 84056
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Other Names 1

Former Name (1)Kelly Kasarda

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 1194107912. It was assigned to this individual provider in the NPPES registry on June 29, 2015. The provider is also known as Kelly Kasarda.

Where is Kelly Johnson located?

Kelly Johnson practices at 75 Mdg, Mental Health Clinic 7309 Balmer Street, Bldg 545, Hill Afb, UT 84056. The listed phone number is (801) 777-7909.

What is Kelly 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 Kelly Johnson was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.