Individual provider Active NPI

Kevin R. Johnson, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1437212941
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5962642-3501 Issued in UT
Practice address
321 N Mall Dr Ste E102
St George, UT 84790-7305
Phone
(435) 574-9470
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5962642-3501 UT Primary

Addresses

Primary practice location

321 N Mall Dr Ste E102
St George, UT 84790-7305

Mailing address

321 N Mall Dr Ste E102
St George, UT 84790-7305
Phone (435) 574-9470

Other practice location 1

652 S Medical Center Dr Ste 340
St George, UT 84790-7049
Phone (435) 251-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20120501000293 UT Practitioner - Clinical Social Worker 5698937068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nevada, Las Vegas School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

5171 S Cottonwood St
Murray, UT 84107-5704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5962642-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Feb 28, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Jun 26, 2017 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jun 26, 2017 Accepting new patients
Kevin Johnson Clinical Services LLC Clinical CurrentSince Oct 13, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

321 N Mall Dr
Ste E102
St George, UT 84790
Phone (435) 668-7487

437 S Bluff St
Ste 202
St George, UT 84770
Phone (435) 656-0506

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

652 S Medical Center Dr
Ste LL10
St George, UT 84790
Phone (435) 251-2250

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

652 S Medical Center Dr
Ste 340
St George, UT 84790
Phone (435) 251-2250

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1437212941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MALL DR STE E102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907305",
            "telephone_number": "435-574-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MALL DR STE E102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907305",
            "telephone_number": "435-574-9470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 S Medical Center Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847907049",
            "country_code": "US",
            "telephone_number": "435-251-6250",
            "fax_number": "435-251-6251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEVIN",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5962642-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.