NPI 1003072364

Michael Kendrick Johnson, LCSW

Practitioner Clinical Social Worker Atlanta, GA

Practice location

Address: 343 8th St NE #e-2, Atlanta, GA 30309-4282
Phone: (678) 895-8412
Fax: (404) 879-0779

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW003882 (GA)

Other Social Worker providers in Georgia →

Registry record

NPI: 1003072364
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2008
Record last updated: 30 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.