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KEYONNA JOHNSON LCSW
NPI 1336706860
Social Worker - Clinical in Fairdale, KY

Active since May 21, 2019PECOS Enrolled
227 TEX AVE, FAIRDALE, KY 40118(502) 509-9623 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 26, 2024, Nov 30, 2021, Nov 9, 2021 and 2 more (5 updates tracked since 2019).

About Keyonna Johnson Lcsw NPPES

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

KEYONNA JOHNSON LCSW (NPI 1336706860) is an individual clinical provider in Fairdale, Kentucky, licensed in Kentucky (254076) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1336706860
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKEYONNA JOHNSONCredential: LCSW
Location Address227 TEX AVEFairdale, KY 40118-9103
Mailing Address227 Tex AveFairdale, KY 40118-9103 · (502) 509-9623
Phone(502) 509-9623
Sole ProprietorNo
Enumeration DateMay 21, 2019
Last NPPES UpdateJune 26, 20245 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1336706860 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 KY · 254076
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.
227 TEX AVE, Fairdale, KY 40118
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Secondary Practice Location 1

Location 12225 W BroadwayLouisville, KY 40211-1087 · Phone (502) 589-8600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keyonna Johnson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 40118 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 Keyonna Johnson's NPI number?

The NPI number for Keyonna Johnson is 1336706860. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Keyonna Johnson located?

Keyonna Johnson practices at 227 Tex Ave, Fairdale, KY 40118. The listed phone number is (502) 509-9623.

What is Keyonna Johnson's specialty?

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

Is Keyonna Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keyonna Johnson was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.