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

Kelly Anne Johnson, LMSW

Individual provider Clinical Social Worker · NPI 1043078157

Kelly Anne Johnson, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2024
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262
Phone: (616) 490-3468
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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 6801115731 (MI)

Record details

NPI number1043078157
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedMarch 12, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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