Carolyn S. Johnson, LCSW-C, CEAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04058 Issued in MD

Practice address

1003 Myrtle Ave
Baltimore, MD 21201-1444

Phone

(667) 379-4922

NPI assigned

Jul 3, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Angel Foundation

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1003852286

  Clinical

  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1659301257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MYRTLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011444",
            "telephone_number": "667-379-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MYRTLE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011444",
            "telephone_number": "667-379-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLYN",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW-C, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404908000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany J Johnson
• Brittany Raquel Johnson, NP
• Brooke Anne Johnson
• Carl Johnson Jr.
• Carole Johnson
• Caron Johnson
• Catherine Anne Johnson, L.C.P.C.
• Charday B Johnson
• Charquel Johnson, COTA/L
• Chester Johnson

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Sep 29, 2023; 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.