Active NPI
Patricia R Johnson, MSW, LICSW
- Clinical Social Worker
- District Heights, MD
National Provider Identifier
1215293113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50077888
- Practice address
- 6901 Wildrose CT
District Heights, MD 20747-5148 - Phone
- (202) 489-3919
- NPI assigned
- Apr 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50077888 | DC | Primary |
Addresses
Primary practice location
6901 Wildrose CT
District Heights, MD 20747-5148
Mailing address
6901 Wildrose CT
District Heights, MD 20747-5148
Phone (202) 489-3919
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC50077888 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1215293113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 WILDROSE CT",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207475148",
"telephone_number": "202-489-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 WILDROSE CT",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207475148",
"telephone_number": "202-489-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PATRICIA",
"middle_name": "R",
"name_prefix": "Miss",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50077888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in District Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.