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

Mary Kay Johnson, LCSWCSWPIPQMNP

Individual provider Social Worker · NPI 1598848921

Mary Kay Johnson, LCSWCSWPIPQMNP is a Clinical Social Worker in Watertown, South Dakota. Qualified in 1996, 30 years ago. Accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
30
Licensed in
SD
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1103 Jenson Ave SE
Watertown, SD 57201-5259
Phone: (605) 878-1234
Fax: (605) 878-2211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence CSW PIP 1991 (SD)
Social Worker Taxonomy 104100000X · Licence LCSW 1557 (SD)

Record details

NPI number1598848921
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWCSWPIPQMNP
Sole proprietorNo
NPI enumeratedOctober 21, 2006
Last updated in NPPESMay 6, 2022
Certification dateMay 6, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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