Active NPI
Aesha A. Johnson, LGSW
- Social Worker
- Cambridge, MD
National Provider Identifier
1225396195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 16684
- Practice address
- 828 Airpax Rd
BLDG B Ste 300
Cambridge, MD 21613-6401 - Phone
- (410) 228-3929
- Fax
- (410) 228-3810
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 16684 | MD | Primary |
Addresses
Primary practice location
828 Airpax Rd
BLDG B Ste 300
Cambridge, MD 21613-6401
Mailing address
1111 Kenosha Ave
Salisbury, MD 21801-8923
Phone (410) 603-7716
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 |
|---|---|---|---|
| 16684 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1225396195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 KENOSHA AVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218018923",
"telephone_number": "410-603-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 AIRPAX RD",
"address_2": "BLDG B STE 300",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216136401",
"telephone_number": "410-228-3929",
"fax_number": "410-228-3810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AESHA",
"middle_name": "A.",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "16684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.