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Mrs. Kelly Colleen Johnson, LCSW
Clinical Social Worker in Durham, North Carolina
NPI 1427573476

Kelly Colleen Johnson is a Clinical Social Worker based in Clayton, NC and is specialized in Clinical. Kelly Colleen Johnson practices in Durham, NC and has the professional credentials of LCSW. The NPI Number for Kelly Colleen Johnson is 1427573476 and holds a License No. 149.019599 (North Carolina).

The current practice location address for Kelly Colleen Johnson is 2530 Meridian Parkway, Durham, NC and can be reached out via phone at 919-437-6627 and via fax at 919-258-2490.

Location: 2530 Meridian Parkway, Durham, NC, 27527-6710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427573476
Provider Name
Kelly Colleen Johnson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2530 Meridian Parkway, Durham, NC, 27527-6710
Phone Number
919-437-6627
Fax Number
919-258-2490
Provider Enumeration Date
08/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C012146 01 NC STATE LICENSE
1427573476 01 NPI TYPE I
149019599 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2530 Meridian Parkway
City
Durham
State
North Carolina
Zip
27713-2771
Phone Number
919-437-6627
Fax Number
919-258-2490
person
Provider Business Mailing Address Details
Address
2530 Meridian Parkway
City
Durham
State
North Carolina
Zip
27713-2771
Phone Number
919-437-6627
Fax Number
919-258-2490
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
149.019599 (Illinois)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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