Angela Marie Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

259963 Issued in KY

Practice address

1455 Boone Aire Rd
Florence, KY 41042-1157

Phone

(859) 938-9291

NPI assigned

Jan 27, 2025

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

Enrolled in CA

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

State licenses

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1639982549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BOONE AIRE RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421157",
            "telephone_number": "859-938-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 BOONE AIRE RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421157",
            "telephone_number": "859-938-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jibrini MD Associates PLLC
• Kartikkumar Jinjuvadia, MD
• John D Edwards MD, Inc
• John F. Young, DMD, PSC
• John Lang Chiropractic, LLC
• Emily R Johnson, CD(DONA)
• Rick Alvin Johnson
• William Eric Andrew Johnson, PHARMD
• Sarah Lynn Johnston, LCSW
• April Lynn Jones, M.S.

• Clinical Social Worker in Florence, KY
• Providers in Florence, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.