Katelyn D Johnson, LISW
Individual provider Active NPI Social Worker · Nelsonville, OH
NPI 1003309980 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1003309980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 4 Buckeye Dr Ste E302
Nelsonville, OH 45764-9591 - Phone
- (740) 753-6240
- Fax
- (740) 753-6241
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221020002468 | OH | Practitioner - Clinical Social Worker | 4880060565 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| Hopewell Health Centers, Inc. | Current |
Accepting new patients | |
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| Hopewell Health Centers Inc | Current |
Accepting new patients |
Locations
90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091
4 Buckeye Dr
Ste E302
Nelsonville, OH 45764
Phone (740) 753-6240
25 S Clinton St
The Plains, OH 45780
Phone (740) 249-4318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
4 Buckeye Dr Ste E302
Nelsonville, OH 45764-9591
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Other practice location 1
90 Hospital Dr
Athens, OH 45701-2301
Phone (740) 592-3091
Other names
- Katelyn D Smith
Other providers in Nelsonville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.