Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keisha Geneva Johnston, LCSW-A

Individual provider Clinical Social Worker · NPI 1679283550

Keisha Geneva Johnston, LCSW-A is a Clinical Social Worker in Mount Airy, North Carolina. Qualified in 2022, 4 years ago. Practices with Easter Seals Ucp North Carolina and Virginia, Inc, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

414 W Lebanon St
Mount Airy, NC 27030-2954
Phone: (336) 789-9492
Fax: (336) 789-9587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 619 Sullivan Rd, Statesville, NC 28677-3437 — (704) 871-0934

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C018706 (NC)

Record details

NPI number1679283550
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A
Sole proprietorYes
NPI enumeratedDecember 1, 2022
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Easter Seals Ucp North Carolina And Virginia, Inc. — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Airy