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

Kelly Nicole Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1902093438

Kelly Nicole Johnson, LCSW is a Clinical Social Worker in Eureka, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

720 Wood St
Eureka, CA 95501-4413
Phone: (707) 445-7710
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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 29904 (CA)

Record details

NPI number1902093438
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 28, 2007
Last updated in NPPESJuly 13, 2016

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