Individual ProviderKlonette JohnsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address231 Steuben St, Staten Island, NY 10304-3370(929) 877-8008PECOS EnrollmentBased on the most recent information from CMS, provider Klonette Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1013645779Provider TypeIndividualFull NameJohnson, KlonetteTitleDr.CredentialEDD,LMSWGenderFemaleSole ProprietorYesEnumeration Date8/10/2022Last Updated10/14/2025Contact InformationPractice LocationPractice Address231 Steuben St, Staten Island, NY 10304-3370Phone(929) 877-8008FaxUnlisted FaxMailing LocationMailing Address231 Steuben St, Staten Island, NY 10304-3370PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense116730New YorkCode103TM1800XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNew York