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

Individual provider Clinical Social Worker · NPI 1679705479

Kimberly Petrae Johnson, LCSW is a Clinical Social Worker in Georgetown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2009.

Licensed in
KY
In the registry since
2009
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

137 E Main St
Georgetown, KY 40324-1786
Phone: (859) 312-6400
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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 3292 (KY)

Record details

NPI number1679705479
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 13, 2009
Last updated in NPPESJuly 21, 2022

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