Kimberly T Johnson
Clinical Social Worker
9201 Big Horn Blvd
Elk Grove
, California 95758-1240
Kimberly T Johnson
Clinical Social Worker
9201 Big Horn Blvd
Elk Grove
, California 95758-1240
(916) 478-5861
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Kimberly T Johnson
- 9201 Big Horn Blvd
- Elk Grove, CA
- Zip : 95758-1240
- Phone : (916) 478-5861
Second Address
- Kimberly T Johnson
- 9201 Big Horn Blvd
- Elk Grove, CA
- Zip : 95758-1240
- Phone : (916) 478-5861
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 27062 | CA |
National Provider Identifier
| NPI | 1003186602 |
|---|---|
| Provider Name | Kimberly T Johnson |
| First Address | Elk Grove, CA 95758-1240 |
| Second Address | Elk Grove, CA 95758-1240 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2012 |
| Last Update Date | 26/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.