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KEYDRA JOHNSON
NPI 1891363099
Social Worker - Clinical in Washington, DC

Active since June 14, 2021
611 PENNSYLVANIA AVE SE # 415, WASHINGTON, DC 20003(202) 643-6018 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, Jun 14, 2021 (2 updates tracked since 2021).

About Keydra Johnson NPPES

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

KEYDRA JOHNSON (NPI 1891363099) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC200002602) and active in the NPI registry since June 2021. She is a graduate of Fordham University School Of Medicine (2016).

NPPES Registry Identity

NPI1891363099
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKEYDRA JOHNSON
Location Address611 PENNSYLVANIA AVE SE # 415Washington, DC 20003-4303
Mailing Address5711 Baltimore Ave Apt 304Hyattsville, MD 20781-1670 · (516) 303-4535
Phone(202) 643-6018
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2016
Enumeration DateJune 14, 2021
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1891363099 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
Licenses✔ Licensed in DC · LC200002602✔ Licensed in NY · 095315
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 LG50083757 (DC), 103962 (NY)
611 PENNSYLVANIA AVE SE # 415, Washington, DC 20003
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5597252437
PECOS Enrollment IDI20251014004440

Other Providers at the Same Location NPPES 13

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

STEFANI Y BROWN
Social Worker
611 PENNSYLVANIA AVE SE # 415
WASHINGTON, DC 20003
District of Columbia (202) 455-6374
DANIELLE IESHA WILLIAMS LGPC
Counselor
611 PENNSYLVANIA AVE SE # 415
WASHINGTON, DC 20003
District of Columbia (202) 455-6374
OLIANY MENDEZ LGSW
Social Worker
611 PENNSYLVANIA AVE SE # 415
WASHINGTON, DC 20003
District of Columbia (202) 629-7690
EMMA ABIGAIL KENNEY
Social Worker (Clinical)
611 PENNSYLVANIA AVE SE # 415
WASHINGTON, DC 20003
District of Columbia (816) 885-6636
JORDYN MOTLEY
Counselor (Mental Health)
611 PENNSYLVANIA AVE SE # 415
WASHINGTON, DC 20003
District of Columbia (937) 529-1035
STE'NIYA WILLIAMS LGSW,LMSW
Case Manager/Care Coordinator
611 PENNSYLVANIA AVE SE # 415
WASHINGTON, DC 20003
District of Columbia (888) 878-8236
JASMINE COOPER
Social Worker
611 PENNSYLVANIA AVE SE # 415
WASHINGTON, DC 20003
District of Columbia (202) 455-6374
SHARELLE A LANGAIGNE MPS, ATR
Art Therapist
611 PENNSYLVANIA AVE SE # 415
WASHINGTON, DC 20003
District of Columbia (888) 878-8236

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 Keydra Johnson's NPI number?

The NPI number for Keydra Johnson is 1891363099. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Keydra Johnson located?

Keydra Johnson practices at 611 Pennsylvania Ave SE # 415, Washington, DC 20003. The listed phone number is (202) 643-6018.

What is Keydra Johnson's specialty?

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

Is Keydra Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keydra Johnson was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.