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

MS. Kelly Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1942573621

MS. Kelly Johnson, LCSW is a Clinical Social Worker in Glendale, Arizona. Qualified in 2010, 16 years ago. Works from 2 locations. Licensed in Arizona.

Years since qualifying
16
Licensed in
AZ
In the registry since
2012
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

18205 N 51st Ave Ste 109
Glendale, AZ 85308-1491
Phone: (623) 396-6216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13260 N 94th Dr Ste 100, Peoria, AZ 85381-4242 — (623) 396-6216

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19423 (AZ)

Record details

NPI number1942573621
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 11, 2012
Last updated in NPPESJune 12, 2022
Certification dateJune 12, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated

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