Individual provider Active NPI

Kamla Denise Johnson, LCSW

  • Clinical Social Worker
  • Miramar, FL
National Provider Identifier
1861884892
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22734 Issued in FL
Practice address
16423 SW 27TH St
Miramar, FL 33027-5205
Phone
(954) 802-8857
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MCAP100703 FL
Mental Health Counselor 101YM0800X PSW1168 FL
Clinical Social Worker 1041C0700X SW22734 FL Primary
Case Manager/Care Coordinator 171M00000X CBHCMS100516 FL

Addresses

Primary practice location

16423 SW 27TH St
Miramar, FL 33027-5205

Mailing address

1400 NE 125TH St
North Miami, FL 33161-6034
Phone (305) 915-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220808001532 FL Practitioner - Clinical Social Worker 3072995034 Reassigns benefits to 5 organizations
I20250327001781 TX Practitioner - Clinical Social Worker 3072995034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

2700 Post Oak Blvd
Suite 2100
Houston, TX 77056-5797
Phone (800) 423-4400

360 NW 27TH St
Office/Suite 08 109
Miami, FL 33127-1504
Phone (805) 807-3303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MCAP100703FLMDAddiction (Substance Use Disorder) Counselor
CBHCMS100516FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Mtca Psychological Services P.a. CurrentSince Jun 1, 2024 Accepting new patients
DGP Health & Wellness Corp CurrentSince Oct 15, 2023 Accepting new patients
Personal Recovery Network LLC CurrentSince Jul 15, 2024 Accepting new patients
Kamla House LLC Current Accepting new patients
Kami Wellness Center Inc Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 8, 2024 Accepting new patients
Author Health Professionals, PC CurrentSince Jun 24, 2024 Accepting new patients
Alina Community Center at Mount Dora LLC Past Accepting new patients

Locations

200 Knuth Rd
Ste 212
Boynton Beach, FL 33436
Phone (561) 279-3132

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

10440 NW 37th Ter
Doral, FL 33178
Phone (305) 603-7139

8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646

2400 E Commercial Blvd
Ste 101
Ft Lauderdale, FL 33308
Phone (754) 243-5650

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

47 High St
Medford, MA 02155
Phone (210) 213-3660

2700 Post Oak Blvd
Ste 2100
Houston, TX 77056

609 Main St
Ste 2500
Houston, TX 77002

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1861884892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331616034",
            "telephone_number": "305-915-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16423 SW 27TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275205",
            "telephone_number": "954-802-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAMLA",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100703",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PSW1168",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22734",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS100516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.