Individual provider Active NPI

Kamela Rose Johnson, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1124910773
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW142720 Issued in PA
Practice address
1700 Pine St Apt 2F
Philadelphia, PA 19103-6721
Phone
(267) 670-6883
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW142720 PA Primary

Addresses

Primary practice location

1700 Pine St Apt 2F
Philadelphia, PA 19103-6721

Mailing address

1700 Pine St Apt 2F
Philadelphia, PA 19103-6721
Phone (267) 670-6883

Other practice location 1

401 S 2nd St Ste 301
Philadelphia, PA 19147-1612
Phone (215) 732-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW142720PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia School of Psychoanalysis Social Worker Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1124910773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PINE ST APT 2F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036721",
            "telephone_number": "267-670-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PINE ST APT 2F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036721",
            "telephone_number": "267-670-6883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S 2nd St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191471612",
            "country_code": "US",
            "telephone_number": "215-732-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAMELA",
        "middle_name": "ROSE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW142720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.