NPIMap

Organization Active NPI

Terri E. Johnson Clinical Consultative Services, LLC

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1639633043
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TERRI E. JOHNSON CLINICAL CONSULTATIVE SERVICES, LLC
Practice address
7371 Hickory Log Cir
Columbia, MD 21045-5030
Phone
(443) 858-7588
NPI assigned
Jan 30, 2019
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Terri Johnson, LCSW-CNPI 1154647485
Title
Owner/President
Phone
(443) 858-7588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

7371 Hickory Log Cir
Columbia, MD 21045-5030

Mailing address

7371 Hickory Log Cir
Columbia, MD 21045-5030
Phone (443) 858-7588

Other practice location 1

6609 Reisterstown Rd Ste 212A
Baltimore, MD 21215-2315
Phone (443) 858-7588

National Provider Directory

National Provider Directory

Locations

6609 Reisterstown Rd
Ste 212A
Baltimore, MD 21215
Phone (443) 858-7588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1639633043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7371 HICKORY LOG CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455030",
            "telephone_number": "443-858-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7371 HICKORY LOG CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455030",
            "telephone_number": "443-858-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6609 Reisterstown Rd Ste 212A",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212152315",
            "country_code": "US",
            "telephone_number": "443-858-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TERRI E. JOHNSON CLINICAL CONSULTATIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "443-858-7588",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.