Individual provider Active NPI

Rosemary Johnson, PH.D, LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1255515482
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06625 Issued in MD
Practice address
7402 York Rd
300
Towson, MD 21204-7532
Phone
(410) 913-8662
Fax
(410) 435-9118
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06625 MD Primary

Addresses

Primary practice location

7402 York Rd
300
Towson, MD 21204-7532

Mailing address

1262 Meridene Dr
Baltimore, MD 21239-1942
Phone (410) 913-8662

Other identifiers 1

IdentifierTypeStateIssuer
158310700MedicaidMD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110512000266 MD Practitioner - Clinical Social Worker 8224214044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Totally Whole Pastoral Counseling Services, LLCGroup PAC ID 9032405717, 3 clinicians

Practice addresses (Care Compare)

1701 Madison Ave
Baltimore, MD 21217-3731
Phone (410) 728-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Totally Whole Pastoral Counseling Services Clinical Current Accepting new patients
Totally Whole Pastoral Counseling Services, LLC Clinical CurrentSince Jan 1, 2016 Accepting new patients

Locations

1601 Saint Paul St
Apt 2
Baltimore, MD 21202
Phone (410) 921-9800

1701 Madison Ave
Ste 500
Baltimore, MD 21217

1701 Madison Ave
Baltimore, MD 21217
Phone (410) 462-3802

7402 York Rd
Ste 300
Towson, MD 21204
Phone (410) 825-6020

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1255515482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 MERIDENE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391942",
            "telephone_number": "410-913-8662",
            "fax_number": "410-435-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 YORK RD",
            "address_2": "300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047532",
            "telephone_number": "410-913-8662",
            "fax_number": "410-435-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "PH.D, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158310700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.