Active NPI
Kirsten April Johnson, LCSW
- Clinical Social Worker
- York, PA
National Provider Identifier
1316408354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020082
- Practice address
- 18 S George St
York, PA 17401-1400 - Phone
- (717) 668-9306
- NPI assigned
- Mar 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW020082 | PA | Primary |
Addresses
Primary practice location
18 S George St
York, PA 17401-1400
Mailing address
5810 Old Harrisburg Rd
York Springs, PA 17372-8762
Phone (717) 353-6274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14430394 | Other | PA | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW020082 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soul Meets Body Treatment Center, LLC | Current | Accepting new patients |
Locations
11 Carlisle St
Ste 205
Hanover, PA 17331
Phone (717) 819-9818
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Hanover, PA
- NPI 1710655527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553904000000",
"number": "1316408354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5810 OLD HARRISBURG RD",
"city": "YORK SPRINGS",
"state": "PA",
"postal_code": "173728762",
"telephone_number": "717-353-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011400",
"telephone_number": "717-668-9306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KIRSTEN",
"middle_name": "APRIL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-30",
"last_updated": "2019-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14430394",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.