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

Kathryn M Johnson, LBSW, QIDP

Individual provider Social Worker · NPI 1770820474

Kathryn M Johnson, LBSW, QIDP is a Social Worker in Wyoming, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2013
Specialties on file
2

Practice location Address checks out

3353 Lousma Dr SE
Wyoming, MI 49548-2251
Phone: (616) 248-6258
Fax: (616) 241-6470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 E. Southern, Muskegon, MI 49442 — (231) 726-3582

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 6802085815 (MI)
Social Worker Taxonomy 104100000X · Licence 6802085815 (MI)

Record details

NPI number1770820474
Entity typeIndividual (Type 1)
GenderFemale
Credentials LBSW , QIDP
Sole proprietorYes
NPI enumeratedJanuary 15, 2013
Last updated in NPPESFebruary 25, 2019

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