Johanna Kerin Johnston, LCSW
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1679907604
StatusActive
Last updated in NPPESMay 5, 2020
Details
- NPI
- 1679907604
- Entity type
- Individual (NPI-1)
- Name
- Johanna Kerin Johnston
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2013
- Certification date
- May 5, 2020
- Last updated
- May 5, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW94669 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | ASW67486 | CA | |
| 1041S0200X | Social Worker, School | ASW67486 | CA |
Practice location
333 S Beaudry AveLos Angeles, CA 90017-1466
Phone 213-241-3841 · Fax 213-241-3305
Mailing address
333 S Beaudry AveLos Angeles, CA 90017-1466
Phone 213-241-3841 · Fax 213-241-3305
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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