Katelyn D Johnson, LISW

Primary specialty

Social WorkerTaxonomy code 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

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katelyn D Smith Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hopewell Health Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, OH
  • NPI 1699010348
  Medicare reassignment NPD
• Hopewell Health Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Belpre, OH
  • NPI 1144732348
  NPD
• Hopewell Health Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, OH
  • NPI 1861909400
  NPD
• Hopewell Health Centers, Inc.

  • Community/Retail Pharmacy
  • The Plains, OH
  • NPI 1215777230
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1003309980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010188",
            "telephone_number": "740-773-4366",
            "fax_number": "740-775-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BUCKEYE DR STE E302",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457649591",
            "telephone_number": "740-753-6240",
            "fax_number": "740-753-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012301",
            "country_code": "US",
            "telephone_number": "740-592-3091",
            "fax_number": "740-773-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATELYN",
        "middle_name": "D",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "SMITH",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Ranee Hopkins
• Integrated Services for Behavioral Health
• Integrated Services for Behavioral Health
• Diane Jayjohn
• Madyson Rae Jeffries, DENTAL ASST.
• Brian Jolley, QMHS3
• Amaiah Jones, MS,AT,ATC
• Alexis Kasler, DENTAL ASSISTANT
• Jasmine Kaur
• Kaitlin Keels, RMA

• Social Worker in Nelsonville, OH
• Providers in Nelsonville, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.