Keya Johnson, LCSW, CCTP, CSOTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006294 Issued in GA

Practice address

1770 Indian Trail Rd
Suite 140
Norcross, GA 30093-2627

Phone

(404) 883-0724

Fax

(866) 282-7377

NPI assigned

Apr 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1114346061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MOROSGO DR NE #14614",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303249840",
            "telephone_number": "404-883-0724",
            "fax_number": "866-282-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 INDIAN TRAIL RD",
            "address_2": "SUITE 140",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932627",
            "telephone_number": "404-883-0724",
            "fax_number": "866-282-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEYA",
        "credential": "LCSW, CCTP, CSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19722",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthea M Johnson, LPC
• Anthonio Sysferelli Johnson, BA
• Claudia Johnson
• Emilie Erin Johnson, OT
• Jerusha Idalin Johnson
• Rodsheika Johnson
• Shamika Layvette Johnson
• Shelice Delcenia Johnson
• Stacy Geisler Johnson, PHARMD
• Sylvia Clayton Johnson, M.D.

• Clinical Social Worker in Norcross, GA
• Providers in Norcross, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.