Active NPI
Jemel Erika Johnson-Smith, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1710275839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15202
- Practice address
- 10630 Little Patuxent Pkwy Ste 224D
Columbia, MD 21044-3264 - Phone
- (443) 787-2894
- NPI assigned
- Jul 11, 2011
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 15202 | MD | |
| Mental Health Counselor | 101YM0800X | 15202 | MD | |
| School Counselor | 101YS0200X | 15202 | MD | |
| Social Worker | 104100000X | 15202 | MD | |
| School Social Worker | 1041S0200X | 15202 | MD | |
| Clinical Social Worker | 1041C0700X | 15202 | MD | Primary |
Addresses
Primary practice location
10630 Little Patuxent Pkwy Ste 224D
Columbia, MD 21044-3264
Mailing address
7424 Catterick CT
Windsor Mill, MD 21244-5600
Phone (443) 787-2894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D697379 | Medicaid | MD |
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 |
|---|---|---|---|
| 15202 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1710275839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7424 CATTERICK CT",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212445600",
"telephone_number": "443-787-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10630 LITTLE PATUXENT PKWY STE 224D",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443264",
"telephone_number": "443-787-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON-SMITH",
"first_name": "JEMEL",
"middle_name": "ERIKA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "15202",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "15202",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MD",
"license": "15202",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "15202",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MD",
"license": "15202",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D697379",
"state": "MD"
}
],
"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 Jan 8, 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.