Formka Johnson, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

22602 Issued in MD

Practice address

1 E Chase St Ste 1108
Baltimore, MD 21202-2564

Phone

(443) 991-1370

NPI assigned

Mar 21, 2017

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

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.

• Transforming Your Mind, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimor, MD
  • NPI 1962109488
  NPD Authorized official

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1861923062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E PRESTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025621",
            "telephone_number": "443-991-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CHASE ST STE 1108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022564",
            "telephone_number": "443-991-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FORMKA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2022-01-03",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Louise Johnson, MD
• Emma Louise Johnson, MD
• Erin Lindsay Johnson, D.P.T.
• Faith Johnson
• Faythe Johnson, LCSW-C
• Francine Yvonne Johnson, LPTA
• Gabriella Johnson
• Garneatha Johnson
• Glen Edward Johnson, MD
• Gwendolyn O Johnson, LCSW-C

• Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.