Malkia Johnson, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14339 Issued in MD

Practice address

5304 Cedar Dr
Cambridge, MD 21613-4404

Phone

(410) 829-4059

NPI assigned

Aug 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Living Well Counseling and Consulting Services, LLC

  • Clinical Social Worker
  • Cambridge, MD
  • NPI 1144105735
  NPD Authorized official

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1235505363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "HURLOCK",
            "state": "MD",
            "postal_code": "216430335",
            "telephone_number": "410-829-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 CEDAR DR",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216134404",
            "telephone_number": "410-829-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MALKIA",
        "name_prefix": "Dr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097684900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iris Johnson-Young
• Aesha A. Johnson, LGSW
• Jacqueline Johnson
• Jessica R Johnson
• Leigh Anne Johnson, M.D.
• Patricia A Johnson, D.O.
• Robert L Johnson, MC, MCAP, CMHP, CST
• Roberta Elayne-Nicole Johnson, LMSW
• Sandra Ann Johnson, LCSW-C
• Jeff Jolley, OD

• Clinical Social Worker in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.