KELLY JOHNSON (NPI# 1194107912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194107912 |
Entity Type | Individual |
Full Name | KELLY JOHNSON |
Other Name | KELLY KASARDA |
Practice Address |
75 Mdg, Mental Health Clinic 7309 Balmer Street, Bldg 545 Hill Afb UT 84056 |
Mailing Address |
325 Mdg, 340 Magnolia Circle Tyndall Afb FL 32403 |
Practice Telephone | 8017777909 |
Mailing Telephone | 8502837511 |
Enumeration Date | 2015-06-29 |
Last Update Date | 2019-01-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
089.0114986 | VT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023631249 | Kelly Lynn Johnson | Occupational Therapist | 22123 Figueroa St Unit 113, Carson, CA 90745-4464 | 2020-05-21 |
1851932404 | Kelly Christine Johnson | Nurse Practitioner | 7319 Stonerock Cir # 106, Orlando, FL 32819-8002 | 2019-10-04 |
1083274989 | Kelly Danielle Johnson | Registered Nurse | 76 Dubois Ct Apt D, Englewood, NJ 07631-3439 | 2019-06-13 |
1871151365 | Kelly Johnson | Family Medicine | 103 S White Oak Rd, White Oak, TX 75693-1517 | 2019-05-30 |
1194288753 | Kelly Mills Johnson | Psychologist | 100 Bush St Ste 918, San Francisco, CA 94104-3950 | 2019-04-10 |
1700345345 | Kelly Marlene Johnson | Nurse Practitioner | 1320 E Oklahoma Ave, Guthrie, OK 73044-3757 | 2019-03-13 |
1891253597 | Kelly Marie Johnson | Specialist/Technologist | 1472 Mobley Ct, Frederick, MD 21701-9113 | 2019-03-12 |
1447744347 | Kelly Theresa Johnson | Speech-Language Pathologist | 5272 River Rd Ste 100, Bethesda, MD 20816-1454 | 2018-06-14 |
1962902882 | Kelly M Johnson | Licensed Vocational Nurse | 118 Brazos Ln, Kyle, TX 78640-5289 | 2018-02-16 |
1427573476 | Kelly Colleen Johnson | Social Worker | 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 | 2017-08-11 |
Street Address |
75 MDG, MENTAL HEALTH CLINIC 7309 BALMER STREET, BLDG 545 |
City | HILL AFB |
State | UT |
Zip Code | 84056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629639885 | Brian A Silva | Physician Assistant | 7321 Balmer Street Bldg 570, Hill Air Force Base, UT 84056 | 2019-06-27 |
1245767045 | Keith Mele | Pharmacist | 7457 Weiner Street, Hill Air Force Base, UT 84056 | 2017-05-11 |
1235513540 | Joshua David Stumpf | Military Health Care Provider | 570 Balmer Street, Hill Afb, UT 84056 | 2015-07-16 |
1831449156 | Curt G Martin | Dentist | 7321 Balmer, 75 Mdg, Hill Afb, UT 84056 | 2012-09-13 |
1811253222 | Tiffany Amber Brakefield | Psychologist | 7309 Balmer St Bldg 545, Hill Afb, UT 84056 | 2012-04-10 |
1982910907 | Peter Shigeki Frandsen | Dentist | 7321 Balmer Street Bldg #570, Hill Afb, 75th Mdg/sgd, Hill Afb, UT 84056 | 2010-08-27 |
1861625436 | Michael David Brewer | Family Medicine | 7321 Balmer Ave, Hill Afb, UT 84056 | 2009-08-31 |
1780838789 | Nisha Ray Baur | Pediatrics | Bldg 569 Hill Afb, Clearfield, UT 84056 | 2008-11-05 |
1629230669 | Elizabeth A. Sherlock | Psychologist | 75 Mdg/sghc, 7321 11th Street, Bldg. 570, Hill Afb, UT 84056 | 2008-07-01 |
1922292671 | Jared Richardson | Dentist | 75th Dental Squadron Hill Afb, Layton, UT 84056 | 2007-09-05 |
Find all providers in zip 84056 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780917427 | Mary J. Waddell | Social Worker | 75 Mdg, 7319 Balmer St. Bldg 546, Hill Afb, UT 84404 | 2009-09-14 |
1750570529 | Julie A Pinchak | Social Worker | 7329 11th St Bldg 547, 75 Mdos/sgohf, Hill Afb, UT 84056-5012 | 2007-10-17 |
1609986496 | Betsy Nicholson Callahan | Social Worker | Lifeskills Support Ctr, Hill Air Force Base, Hill Afb, UT 84056 | 2006-08-30 |
1588634851 | Joaquin Cabral Orozco | Social Worker | 75 Mdos/sgow, 7309 Balmer St. Bldg 545, Hill Afb, UT 84015 | 2006-01-26 |
1467446674 | Daryl D. Sondrup | Social Worker | 7329 11th St, Hill Afb, UT 84056-5012 | 2005-09-01 |
1215467964 | Stephanie Mullins | Social Worker | 7321 Balmer St Bldg 570, Hill Afb, UT 84056-5012 | 2017-06-15 |
1841692258 | Katherine A Coffman | Social Worker | 7321 Balmer St Bldg 570, Hill Afb, UT 84056-5012 | 2014-09-17 |
1992826846 | Leeann Gossett | Social Worker | 7321 Balmer St Bldg 570, Hill Afb, UT 84056-5012 | 2007-04-02 |
1912097262 | Michael R Burpee | Social Worker | 7329 11th St, Bld 547, Hill Afb, UT 84056-5012 | 2006-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619194 | Patricia Collette Johnson | Social Worker | 11075 S State St # 32, Sandy, UT 84070-5164 | 2020-11-05 |
1124629597 | Jessica Aimee Furner | Social Worker | 3740 W Market Center Dr Ste 12, Bluffdale, UT 84065-8026 | 2020-11-03 |
1679172217 | Restoring Balance Therapy Services, LLC | Social Worker | 20 W Main Street Ct Ste 200, Alpine, UT 84004-1889 | 2020-10-24 |
1174122303 | Rachel Ellen Allred | Social Worker | 128 N 100 W Ste 5, Price, UT 84501-2429 | 2020-10-19 |
1053910331 | Mount Olympus Counseling Center, Inc. | Social Worker | 4525 S 2300 E Ste 102, Holladay, UT 84117-4682 | 2020-10-19 |
1922606763 | Eric Jeffrey Hales | Social Worker | 352 S Denver St Ste 350, Salt Lake City, UT 84111-3059 | 2020-10-14 |
1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
1801493382 | Maxwell Marshall Mount | Social Worker | 249 Rodeo Dr, Springville, UT 84663-9472 | 2020-10-07 |
1720685571 | Better Options Counseling LLC | Social Worker | 3450 E Barrel Roll Dr, Saint George, UT 84790-5045 | 2020-10-05 |
1659986917 | Alliance Counseling Pllc | Social Worker | 352 S Denver St # 215, Slc, UT 84111-3000 | 2020-09-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.