Individual provider Active NPI

Marlow A Johnson, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1487266995
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50082284 Issued in DC
Practice address
1380 Monroe St NW # 625
Washington, DC 20010-3452
Phone
(240) 630-2229
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904013509 VA
Clinical Social Worker 1041C0700X LC50082284 DC Primary

Addresses

Primary practice location

1380 Monroe St NW # 625
Washington, DC 20010-3452

Mailing address

1380 Monroe St NW # 625
Washington, DC 20010-3452
Phone (240) 630-2229

Other practice location 1

1555 Connective Ave NW
#500w
Washington, DC 20036
Phone (202) 734-3703

Other names 1

  • Martha A Johnson Former name

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

LicenseStateTypeSpecialty
LC50082284DCMDClinical Social Worker
0904013509VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1487266995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 MONROE ST NW # 625",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103452",
            "telephone_number": "240-630-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 MONROE ST NW # 625",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103452",
            "telephone_number": "240-630-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Connective Ave NW",
            "address_2": "#500w",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20036",
            "country_code": "US",
            "telephone_number": "202-734-3703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARLOW",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013509",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "JOHNSON",
            "middle_name": "A",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.