Ka'Ra Caprie Johnson, LCSW-C, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26274 Issued in MD

Practice address

14306 Kathleen LN
Brandywine, MD 20613-3012

Phone

(330) 256-3850

NPI assigned

Jul 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Just Breathe Recovery and Wellness Centers, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandywine, MD
  • NPI 1174370506
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1003014564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14306 KATHLEEN LN",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133012",
            "telephone_number": "330-256-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14306 KATHLEEN LN",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133012",
            "telephone_number": "330-256-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KA'RA",
        "middle_name": "CAPRIE",
        "credential": "LCSW-C, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016688",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johns Hopkins Community Physicians
• Johns Hopkins Community Physicians, Inc
• Clarence McNeil Johnson Jr., CRNP-PMH
• Delores Michelle Johnson
• Derrick Jerod Johnson, MS
• Anita Bonsu Jones, MD
• Just Breathe Recovery and Wellness Centers, LLC
• Magrace Vanessa Kamdem Simo
• Michael Kayajanian
• Rachel Kelly, MS, ATC

• Clinical Social Worker in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.