Kimberly Renee Johnson, MSW, P-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P005877 Issued in NC

Practice address

1209 Lincoln St
Durham, NC 27701-4329

Phone

(919) 688-5852

NPI assigned

Apr 5, 2011

Last updated

Apr 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1265721765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 LINCOLN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014329",
            "telephone_number": "919-688-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 LINCOLN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014329",
            "telephone_number": "919-688-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "MSW, P-LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P005877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Johnson
• Kiesha Charis Johnson
• Kim A. Johnson, R.D., L.D.N.
• Kim Graham Johnson, M.D.
• Kimberly Johnson, M.D.
• Krystal Brown Johnson, M.D.
• Lakeyta Penny Johnson, LPCA
• Latoya Racquel Johnson
• Leigh Ann Johnson, LMBT
• Lillie Tasheya Johnson, MASSAGE THERAPIST

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.