Active NPI
Danelle Johnson, LCSW-C
- Clinical Social Worker
- Aberdeen, MD
National Provider Identifier
1386278489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16821
- Practice address
- 529 Edmund St
Aberdeen, MD 21001-3429 - Phone
- (410) 272-3278
- NPI assigned
- Feb 27, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16821 | MD | Primary |
Addresses
Primary practice location
529 Edmund St
Aberdeen, MD 21001-3429
Mailing address
6811 Bellona Ave Apt a
Baltimore, MD 21212-1223
Phone (267) 978-4788
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | danelleajohnson@innercountyoutreach.org | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16821 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1386278489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6811 BELLONA AVE APT A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212121223",
"telephone_number": "267-978-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 EDMUND ST",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210013429",
"telephone_number": "410-272-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANELLE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16821",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "danelleajohnson@innercountyoutreach.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "529 Edmund St",
"city": "Aberdeen",
"state": "MD",
"country_code": "US",
"postal_code": "210013429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aberdeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.