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MISS STEPHANIE MAE JOHNSON LCSW
NPI 1750521449
Social Worker - Clinical in Ketchikan, AK

Active since February 20, 2009
25 JEFFERSON WAY, STE 102, KETCHIKAN, AK 99901(907) 247-7827(973) 215-2052 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2021, Apr 15, 2021 (2 updates tracked since 2021).

About Miss Stephanie Mae Johnson Lcsw NPPES

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

MISS STEPHANIE MAE JOHNSON LCSW (NPI 1750521449) is an individual clinical provider in Ketchikan, Alaska and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1750521449
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS STEPHANIE MAE JOHNSONCredential: LCSW
Location Address25 JEFFERSON WAY, STE 102Ketchikan, AK 99901
Mailing Address25 Jefferson Way, Ste 102Ketchikan, AK 99901 · (907) 247-7827 · Fax (973) 215-2052
Phone(907) 247-7827
Fax(973) 215-2052
Sole ProprietorNo
Enumeration DateFebruary 20, 2009
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1750521449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
25 JEFFERSON WAY, Ketchikan, AK 99901
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Other Names 1

Former Name (1)Mrs. Stephanie Mae Lively Lcsw

Other Identifiers 1

Medicaid1579599AK

Other Providers at the Same Location NPPES 2

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

MR. KEVIN ARTHUR HALL M.D.
General Practice
25 JEFFERSON WAY, SUITE 102
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-7827
CAPITOLMED LLC
Internal Medicine
25 JEFFERSON WAY, SUITE 102B
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-7827

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 Stephanie Johnson's NPI number?

The NPI number for Stephanie Johnson is 1750521449. It was assigned to this individual provider in the NPPES registry on February 20, 2009. The provider is also known as Mrs. Stephanie Mae Lively Lcsw.

Where is Stephanie Johnson located?

Stephanie Johnson practices at 25 Jefferson Way Ste 102, Ketchikan, AK 99901. The listed phone number is (907) 247-7827.

What is Stephanie 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 Stephanie Johnson was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.