Kimberlee D Johnson, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2837-B Issued in AR

Practice address

3450 W 34TH Ave
Pine Bluff, AR 71603-5508

Phone

(870) 534-6067

Fax

(870) 534-7392

NPI assigned

Oct 22, 2008

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1871745893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MARSHALL ST",
            "address_2": "SLOT 900",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023510",
            "telephone_number": "501-364-3620",
            "fax_number": "501-364-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W 34TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035508",
            "telephone_number": "870-534-6067",
            "fax_number": "870-534-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLEE",
        "middle_name": "D",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2837-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethanie Johnson
• Chiquita Johnson, BA
• Donna Johnson
• Jeffery Blake Johnson, OD
• Kamelia Johnson
• Kimiara Johnson
• Leslie Johnson
• Lori Johnson, SLP
• Marsha Johnson
• Nicole Johnson, LCSW

• Clinical Social Worker in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.