KELLY NICOLE JOHNSON LCSW
NPI 1902093438
Social Worker - Clinical in Eureka, CA

Active since September 28, 2007

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Nicole Johnson Lcsw NPPES

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

KELLY NICOLE JOHNSON LCSW (NPI 1902093438) is an individual clinical provider in Eureka, California, licensed in California (29904) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1902093438
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY NICOLE JOHNSONCredential: LCSW
Location Address720 WOOD STEureka, CA 95501-4413
Mailing Address720 Wood StEureka, CA 95501-4413
Sole ProprietorNo
Enumeration DateSeptember 28, 2007
Last NPPES UpdateJuly 13, 2016
NPI 1902093438 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 CA · 29904
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.
720 WOOD ST, Eureka, CA 95501

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
720 WOOD ST
EUREKA, CA 95501
Counselor (Mental Health)
720 WOOD ST
EUREKA, CA 95501
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Licensed Vocational Nurse
720 WOOD ST
EUREKA, CA 95501
Marriage & Family Therapist
720 WOOD ST
EUREKA, CA 95501
Registered Nurse
720 WOOD ST, HUMBOLDT COUNTY MENTAL HEALTH
EUREKA, CA 95501
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501

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 Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1902093438. It was assigned to this individual provider in the NPPES registry on September 28, 2007.

Where is Kelly Johnson located?

Kelly Johnson practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 445-7710.

What is Kelly 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 Kelly Johnson was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.