Keyonna Johnson, LCSW is a
Social Worker - Clinical based in Fairdale, Kentucky. Keyonna Johnson is licensed to practice in Kentucky (license number 254076) and her current practice location is
227 Tex Ave, Fairdale, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 509-9623.
NPI number for Keyonna Johnson is 1336706860 and her current mailing address is 227 Tex Ave, Fairdale, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336706860.
Healthcare Provider's Profile
Full Name | Keyonna Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 227 Tex Ave, Fairdale, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336706860
- Provider Enumeration Date: 05/21/2019
- Last Update Date: 06/26/2024
Medical Identifiers
Medical identifiers for Keyonna Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336706860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 254076 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keyonna Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keyonna Johnson, LCSW 227 Tex Ave, Fairdale, KY 40118-9103 Ph: (502) 509-9623 | Keyonna Johnson, LCSW 227 Tex Ave, Fairdale, KY 40118-9103 Ph: (502) 509-9623 |
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