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

Mr. Kurt M Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1134465263

Mr. Kurt M Johnson, LCSW is a Clinical Social Worker in Phenix City, Alabama. Qualified in 2004, 22 years ago. Practices with The Robert Young Center for Community Mental Health, a 54-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama and Illinois.

Years since qualifying
22
Licensed in
AL, IL
In the registry since
2012
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

1606 Broad St
Phenix City, AL 36867-5081
Phone: (334) 480-8888
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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 4127C (AL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.014379 (IL)

Record details

NPI number1134465263
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 18, 2012
Last updated in NPPESOctober 21, 2018
Mailing address3700 Bridgewater Rd Apt C8, Columbus, GA 31909-6309

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Robert Young Center For Community Mental Health — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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