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

Keydra Johnson

Individual provider Clinical Social Worker · NPI 1891363099

Keydra Johnson is a Clinical Social Worker in Washington, District of Columbia. Graduated from Fordham University School of Medicine in 2016, 10 years ago. Practices as a sole proprietor. Licensed in District of Columbia and New York.

Years since qualifying
10
Trained at
Fordham University School of Medicine
Licensed in
DC, NY
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

611 Pennsylvania Ave SE # 415
Washington, DC 20003-4303
Phone: (202) 643-6018
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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 LC200002602 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 095315 (NY)
Social Worker Taxonomy 104100000X · Licence LG50083757 (DC)
Social Worker Taxonomy 104100000X · Licence 103962 (NY)

Record details

NPI number1891363099
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2021
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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