Kendall M. Johnson, L.C.S.W.
NPI 1073659298ActiveIndividual· Social Worker, Clinical· Portland, OR
Social Worker, Clinical (L.C.S.W.) with Providence Health and Services Oregon, practicing in Portland, Oregon. Medicare paid $11,180 for services to 20 patients in 2024.
Overview
| NPI | 1073659298 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.C.S.W. |
| Sole proprietor | Yes |
| NPI issued | Jan 29, 2007 |
| Last updated in NPPES | Mar 24, 2020 |
| Certified by provider | Mar 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | L5441 | — |
| Social Worker | 104100000X | L5441 | OR |
| Social Worker, Clinical | 1041C0700X | 075642 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 156 across 4 procedure codes |
| Paid by Medicare | $11,180 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Providence Health and Services OregonPortland, OR · 1,433 clinicians
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