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

Kimberlie Jo Johnson

Individual provider Clinical Social Worker · NPI 1104463694

Kimberlie Jo Johnson is a Clinical Social Worker in Provo, Utah. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1881 N 1120 W
Provo, UT 84604-1180
Phone: (435) 248-2089
Fax: (801) 207-5104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1104463694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 4, 2019
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address1881 N 1120 W, Provo, UT 84604-1180

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