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

Katelyn Grace Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1558290585

Katelyn Grace Johnson, LCSW is a Clinical Social Worker in Tucson, Arizona. Qualified in 2023, 3 years ago. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2026
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

6303 E Tanque Verde Rd Ste 210
Tucson, AZ 85715-3859
Phone: (520) 896-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-23568 (AZ)

Record details

NPI number1558290585
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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