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

Mr. Kenneth L Johnson III, LSW

Individual provider Clinical Social Worker · NPI 1174976310

Mr. Kenneth L Johnson III, LSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2016
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

2305 Fairmount Ave
Philadelphia, PA 19130-2515
Phone: (267) 307-2696
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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 SW131341 (PA)

Record details

NPI number1174976310
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedJuly 22, 2016
Last updated in NPPESJuly 22, 2016

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