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KAITLYN MARIE JOHNSON LCSW
NPI 1538648605
Social Worker - Clinical in Carthage, NY

Active since August 09, 2018PECOS Enrolled
36500 STATE ROUTE 26, CARTHAGE, NY 13619(315) 493-5075 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 13, 2021, Aug 9, 2018 (2 updates tracked since 2018).

About Kaitlyn Marie Johnson Lcsw NPPES

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

KAITLYN MARIE JOHNSON LCSW (NPI 1538648605) is an individual clinical provider in Carthage, New York, licensed in (092747) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Carthage.

NPPES Registry Identity

NPI1538648605
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAITLYN MARIE JOHNSONCredential: LCSW
Location Address36500 STATE ROUTE 26Carthage, NY 13619-9506
Mailing Address1001 West StCarthage, NY 13619-9776 · (315) 519-5724 · Fax (315) 493-0105
Phone(315) 493-5075
Sole ProprietorNo
Enumeration DateAugust 9, 2018
Last NPPES UpdateMarch 25, 20222 updates tracked since enumeration
NPPES CertifiedMarch 25, 2022
✔ NPI 1538648605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed · 092747
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 103886 (NY)
36500 STATE ROUTE 26, Carthage, NY 13619
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Other Names 1

Former Name (1)Kaitlyn Marie Ashcroft

Secondary Practice Location 1

Location 121986 Cole RdCarthage, NY 13619-9595 · Phone (315) 493-5075 · Fax (315) 493-4713

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Marie 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 13619 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 3

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

MR. WILLIAM JOHN SPEARANCE II RPA-C
Physician Assistant (Medical)
36500 STATE ROUTE 26
CARTHAGE, NY 13619
Jefferson County (315) 493-5080
ASHLEY SMITH
Speech-Language Pathologist
36500 STATE ROUTE 26
CARTHAGE, NY 13619
Jefferson County (315) 493-1570
CARTHAGE AREA HOSPITAL INC
Clinic/Center (Rural Health)
36500 STATE ROUTE 26
CARTHAGE, NY 13619
Jefferson County (315) 493-5080

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 Kaitlyn Johnson's NPI number?

The NPI number for Kaitlyn Johnson is 1538648605. It was assigned to this individual provider in the NPPES registry on August 9, 2018. The provider is also known as Kaitlyn Marie Ashcroft.

Where is Kaitlyn Johnson located?

Kaitlyn Johnson practices at 36500 State Route 26, Carthage, NY 13619. The listed phone number is (315) 493-5075.

What is Kaitlyn Johnson's specialty?

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

Is Kaitlyn Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kaitlyn Johnson was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.