Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlyn Marie Johnson, LCSW

Individual provider Social Worker · NPI 1538648605

Kaitlyn Marie Johnson, LCSW is a Social Worker in Carthage, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

36500 State Route 26
Carthage, NY 13619-9506
Phone: (315) 493-5075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21986 Cole Rd, Carthage, NY 13619-9595 — (315) 493-5075

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 092747
Social Worker Taxonomy 104100000X · Licence 103886 (NY)

Record details

NPI number1538648605
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022

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