National Provider Identifier

Kara Michele Johnson

Kara Michele Johnson is listed in the NPPES registry with a primary specialty of Clinical Social Worker in South Dayton, NY and a listed phone number of (716) 397-9087.

NPI 1649529181South Dayton, NYClinical Social Worker

Profile Overview

NPI
1649529181
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 30, 2012
Last Updated
November 07, 2022

Practice Location

  • 7755 Ny-83
  • South Dayton, NY 14138

Phone: (716) 397-9087

Mailing Address

  • 219 Ahrens Ave
  • Jamestown, NY 14701-7365

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1649529181
Entity Type
Individual
Last Name
Johnson
First Name
Kara
Middle Name
Michele
Name Prefix
MS.
Provider Other Last Name
Johnson
Provider Other First Name
Kara
Provider Other Middle Name
Michele
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
LCSW
Provider Other Last Name Type Code
2
Mailing Street Address
219 Ahrens Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-7365
Mailing Country
US
Mailing Phone
(716) 397-9087
Practice Street Address
7755 Ny-83
Practice City
South Dayton
Practice State
NY
Practice ZIP Code
14138
Practice Country
US
Practice Phone
(716) 397-9087
Enumeration Date
August 30, 2012
Last Updated
November 07, 2022
Sex
Female
Sole Proprietor
No
Certification Date
November 04, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)