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

Kristina Lee Johnson, LCSW

Individual provider Social Worker · NPI 1396479788

Kristina Lee Johnson, LCSW is a Clinical Social Worker in Benton, Arkansas. Qualified in 2021, 5 years ago. Practices with Counseling Clinic Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
5
Licensed in
AR
In the registry since
2022
Specialties on file
2
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

110 Pearson
Benton, AR 72015-4436
Phone: (501) 315-4224
Fax: (501) 778-0450
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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 11766-C (AR)
Social Worker Taxonomy 104100000X · Licence 11766-M (AR)

Record details

NPI number1396479788
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 12, 2022
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Counseling Clinic Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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