KEYDRA JOHNSON
NPI 1891363099
Social Worker - Clinical in Washington, DC
NPI Status: Active since June 14, 2021
Contact Information
611 PENNSYLVANIA AVE SE # 415
WASHINGTON, DC
ZIP 20003
Phone: (202) 643-6018
- Individual
- Female
- Years of Experience 10
- Social Worker
- Clinical
- May Accept Medicare Approved Payment
About KEYDRA JOHNSON
This page provides the complete NPI Profile along with additional information for Keydra Johnson, a provider established in Washington, District Of Columbia with a medical specialization in Social Worker, focusing in clinical and more than 10 years of experience. She graduated from Fordham University School Of Medicine in 2016. The healthcare provider is registered in the NPI registry with number 1891363099 assigned on June 2021. The practitioner's primary taxonomy code is 1041C0700X with license number LC200002602 (DC). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1891363099
- Provider Name
- KEYDRA JOHNSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 611 PENNSYLVANIA AVE SE # 415 WASHINGTON, DC 20003
- Location Phone
- (202) 643-6018
- Mailing Address
- 5711 BALTIMORE AVE APT 304 HYATTSVILLE, MD 20781
- Mailing Phone
- (516) 303-4535
- Medical School Name
- FORDHAM UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2016
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-14-2021
- Last Update Date
- 05-18-2023
- Code Navigator
A clinical social worker like Keydra Johnson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LC200002602
- License State
- DC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | LG50083757 (DC) |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 103962 (NY) |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 095315 (NY) |
Medicare Participation & PECOS Enrollment Status
Keydra Johnson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 5597252437
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251014004440
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for KEYDRA JOHNSON
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1891363099, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
WASHINGTON, DC 20003
WASHINGTON, DC 20003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891363099, enumerated as an "individual" on June 14, 2021.
The provider is located at 611 PENNSYLVANIA AVE SE # 415 WASHINGTON, DC 20003 and the phone number is (202) 643-6018.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
