Kara Michele Johnson
Individual provider Active NPI Clinical Social Worker · South Dayton, NY
NPI 1649529181 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1649529181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 091647 (NY)
- Practice address
- 7755 Ny-83
South Dayton, NY 14138 - Phone
- (716) 397-9087
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091647 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 091647 | NY | Yes |
Addresses
Primary practice location
7755 Ny-83
South Dayton, NY 14138
Mailing address
219 Ahrens Ave
Jamestown, NY 14701-7365
Phone (716) 397-9087
Other names
- Ms. Kara Michele Johnson
Other providers in South Dayton, NY
- Joanne Siergiej Arnold
- Dawn Rae Eklum
- Todd Eric Eklum
- Jamie Leigh Gruber
- Patricia Hills
- Barbara Katherine Keib-Nelson
- Jill Ann Kenney
- Theresa Kerzner
- Nicole Lynn Maher
- Gretchen M Mays
All providers in South Dayton, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.