Individual provider Active NPI

Raamah Thomas Johnson, LCSW

  • Clinical Social Worker
  • York, PA
National Provider Identifier
1194965095
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023034 Issued in PA
Practice address
35 S Duke St
York, PA 17401-1401
Phone
(717) 851-8299
NPI assigned
Mar 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW023034 PA
Professional Counselor 101YP2500X CW023034 PA
Art Therapist 221700000X CW023034 PA
Professional Counselor 101YP2500X 44SL055115 NY
Clinical Social Worker 1041C0700X CW023034 PA Primary

Addresses

Primary practice location

35 S Duke St
York, PA 17401-1401

Mailing address

3041 King Richards CT S
York, PA 17408-9426
Phone (256) 457-1216

Other practice location 1

3041 King Richards Ct S
York, PA 17408-9426
Phone (256) 457-1216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231010000446 PA Practitioner - Clinical Social Worker 6204281371 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL055115NYMDProfessional Counselor
CW023034PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe Christian Clinical Art Therapy and Therapeutic Services CurrentSince Jan 15, 2023 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Sep 2, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

35 S Duke St
York, PA 17401
Phone (717) 819-9500

Organizations & group practices 2

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1194965095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 KING RICHARDS CT S",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174089426",
            "telephone_number": "256-457-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S DUKE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011401",
            "telephone_number": "717-851-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3041 King Richards Ct S",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174089426",
            "country_code": "US",
            "telephone_number": "256-457-1216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAAMAH",
        "middle_name": "THOMAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW023034",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "CW023034",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "PA",
            "license": "CW023034",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "44SL055115",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.