Kyla Marie Johnson
Individual provider Active NPI Clinical Social Worker · Salt Lick, KY
NPI 1881541977 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1881541977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- TC00001061 (KY)
- Practice address
- 396 Cave Run Lake Rd
Salt Lick, KY 40371-8744 - Phone
- (606) 784-1153
- NPI assigned
- Mar 16, 2026
- 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 |
|---|---|---|---|
| TC00001061 | KY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | TC00001061 | KY | Yes |
Addresses
Primary practice location
396 Cave Run Lake Rd
Salt Lick, KY 40371-8744
Mailing address
396 Cave Run Lake Rd
Salt Lick, KY 40371-8744
Phone (606) 784-1153
Other providers in Salt Lick, KY
- Megan Cantrell
- Jennifer Anne Caudill
- Communication Connections, LLC
- Soulthrive Therapy Services PLLC
All providers in Salt Lick, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. 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.