Carmella Johnson, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0017686 Issued in OH

Practice address

12395 McCracken Rd
Garfield Heights, OH 44125-2967

Phone

(216) 587-6727

NPI assigned

Apr 11, 2018

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.

• Kelli Anne Chamberlain

  • Psychiatric/Mental Health Registered Nurse
  • Garfield HTS, OH
  • NPI 1013418458
  NPD (past)

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1033616453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9161 CRESCENT BLVD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473912",
            "telephone_number": "216-854-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252967",
            "telephone_number": "216-587-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9161 Crescent Blvd Apt 202",
            "address_purpose": "LOCATION",
            "city": "Broadview Heights",
            "state": "OH",
            "postal_code": "441472499",
            "country_code": "US",
            "telephone_number": "937-242-2304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARMELLA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0017686",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennings Center for Older Adults
• Jennings Operating LLC
• Jennings Operating LLC
• Byung Minn Jinn, MD
• Beverly Ann Johnson, CRNP
• Diamond Teara' Johnson
• Eric Maurice Johnson
• Georgia A Johnson, LPN
• Larajanae Johnson
• Sharda Johnson, HHA

• Social Worker in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.