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

Kettely Jeanne Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1114845385

Kettely Jeanne Johnson, LCSW is a Clinical Social Worker in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
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

510 Thatch Ter
Fayetteville, GA 30214-1919
Phone: (470) 471-5708
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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 CSW004568 (GA)

Record details

NPI number1114845385
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

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