Provider Demographics
NPI:1306557160
Name:JOHNSON, KARINGTON LAINEE (LMSW)
Entity type:Individual
Prefix:MS
First Name:KARINGTON
Middle Name:LAINEE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 VERSAILLES BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3979
Mailing Address - Country:US
Mailing Address - Phone:318-441-0800
Mailing Address - Fax:318-441-0805
Practice Address - Street 1:80 VERSAILLES BLVD STE C
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3979
Practice Address - Country:US
Practice Address - Phone:318-441-0800
Practice Address - Fax:318-441-0805
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health