Rosetta V. Johnson, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

G12229 Issued in MD

Practice address

516 Glenwood Ave
Baltimore, MD 21212-4230

Phone

(410) 323-9811

Fax

(401) 323-3862

NPI assigned

Jul 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Redeem Healthcare and Medical System Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1699267765
  Medicare reassignment NPD

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1811285471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 GLENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124230",
            "telephone_number": "410-323-9811",
            "fax_number": "401-323-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 GLENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124230",
            "telephone_number": "410-323-9811",
            "fax_number": "401-323-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROSETTA",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "G12229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Simone Johnson, MD
• Rebecca Johnson
• Ricardo Johnson Jr., PTA- MLD-C
• Robert Daniel Johnson, RPH
• Rodney A. Johnson, M.D.
• Sandra Maria Johnson, MD
• Sandy Louise Johnson, CRNP
• Shakira Johnson
• Shanna Johnson
• Shannon Johnson, LCPC

• 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 Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.