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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 codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLCSW94669CAYes
101YM0800X Counselor, Mental HealthASW67486CA
1041S0200X Social Worker, SchoolASW67486CA

Practice location

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Phone 213-241-3841 · Fax 213-241-3305

Mailing address

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Phone 213-241-3841 · Fax 213-241-3305

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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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