NPIMap

Individual provider Active NPI

Tenneh Johnson Kemah, LCSW-C

  • Clinical Social Worker
  • Laurel, MD
National Provider Identifier
1659554608
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11268 Issued in MD
Practice address
3005 Shoreline Blvd
Laurel, MD 20724-1965
Phone
(301) 362-6772
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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 11268 MD Primary

Addresses

Primary practice location

3005 Shoreline Blvd
Laurel, MD 20724-1965

Mailing address

3005 Shoreline Blvd
Laurel, MD 20724-1965
Phone (301) 362-6772

Other names 1

  • Ms. Tenneh Margaret 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
11268MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Consultant and Professional Services Past Accepting new patients

Organizations & group practices 1

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1659554608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 SHORELINE BLVD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241965",
            "telephone_number": "301-362-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 SHORELINE BLVD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241965",
            "telephone_number": "301-362-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMAH",
        "first_name": "TENNEH",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENNEH",
            "last_name": "JOHNSON",
            "middle_name": "MARGARET",
            "prefix": "MS.",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.