Sandra Ann Johnson, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15920 Issued in MD

Practice address

828 Airpax Rd
BLDG B Ste 300
Cambridge, MD 21613-6401

Phone

(410) 228-3929

Fax

(410) 228-3810

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chesapeake Counseling and Psychological Services, Inc.Group PAC ID 5092705939, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Chesapeake Counseling and Psychological Services, Inc.

  • Counseling Psychologist
  • Salisbury, MD
  • NPI 1578767018
  Medicare reassignment Care Compare group
• Evolve Mental Wellness

  • Mental Health Counselor
  • Salisbury, MD
  • NPI 1912597857

  Clinical

  Medicare reassignment NPD
• The Personal Wellness Center

  • Mental Health Counselor
  • Salisbury, MD
  • NPI 1093050890
  Medicare reassignment NPD

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1245586122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "SANDRA",
        "middle_name": "ANN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774800100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Anne Johnson, M.D.
• Malkia Johnson, LCSW-C
• Patricia A Johnson, D.O.
• Robert L Johnson, MC, MCAP, CMHP, CST
• Roberta Elayne-Nicole Johnson, LMSW
• Jeff Jolley, OD
• Ashley Hurley Jones, PA-C
• Taylor Jones
• William Dietrich Jones, D.P.M
• Ellen Catherine Jordan, PA-C

• 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 Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.