Individual provider Active NPI

Johan Orjuela, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1174872006
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18197 Issued in MD
Practice address
4890 Battery LN Apt 308
Bethesda, MD 20814-2714
Phone
(240) 899-3245
NPI assigned
Sep 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18197 MD Primary

Addresses

Primary practice location

4890 Battery LN Apt 308
Bethesda, MD 20814-2714

Mailing address

7412 Georgia Ave NW
#4
Washington, DC 20012-1754
Phone (240) 899-3245

Other identifiers 1

IdentifierTypeStateIssuer
816700100MedicaidMD

Other names 1

  • Johan Orjuela Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208001567 DC Practitioner - Clinical Social Worker 8123430600 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18197MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marys Center for Maternal and Child Care Inc CurrentSince Dec 4, 2020 Accepting new patients
Neighbors' Consejo CurrentSince Nov 4, 2024 Accepting new patients
Mary'S Center for Maternal and Child Care, Inc Current Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Dec 4, 2020 Accepting new patients
Ayuda Clinical Current Accepting new patients
Ayuda Clinical Current Accepting new patients

Locations

6323 Georgia Ave NW
Ste 206
Washington, DC 20011
Phone (202) 234-6855

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

Organizations & group practices 6

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1174872006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 GEORGIA AVE NW",
            "address_2": "#4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121754",
            "telephone_number": "240-899-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 BATTERY LN APT 308",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142714",
            "telephone_number": "240-899-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORJUELA",
        "first_name": "JOHAN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816700100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHAN",
            "last_name": "ORJUELA",
            "credential": "MSW, LCSW-C, LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.