Erica E Johnson, LCSW-C
Individual provider Active NPI Clinical Social Worker · Perry Hall, MD
NPI 1861966582 · NPPES record last updated Jan 19, 2023
Key facts
- NPI
- 1861966582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 23998 (MD)
- Practice address
- 4216 Silver Spring Rd
Perry Hall, MD 21128-9659 - Phone
- (410) 893-4600
- Fax
- (443) 640-4358
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1009 Frederick Rd
Catonsville, MD 21228-5055
Phone (410) 929-8577
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230301000585 | MD | Practitioner - Clinical Social Worker | 9931572583 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23998 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erica E Johnson LLC | Clinical | Current |
Accepting new patients |
| Victorious Mental Healthcare LLC | Current |
Accepting new patients | |
| Victorious Mental Healthcare LLC | Current |
Accepting new patients | |
| Safe Harbor Behavioral Care, LLC | Social Worker | Current |
Accepting new patients |
Locations
2901 Druid Park Dr
Ste A202
Baltimore, MD 21215
Phone (410) 225-0062
1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500
1009 Frederick Rd
Catonsville, MD 21228
Phone (401) 648-7172
750 Concourse Cir
Ste 103
Middle River, MD 21220
Phone (443) 328-4280
4216 Silver Spring Rd
Perry Hall, MD 21128
Phone (410) 529-5150
5430 Campbell Blvd
Ste 211
White Marsh, MD 21162
Phone (410) 838-9500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23998 | MD | Yes |
| Social Worker | 104100000X | 23998 | MD |
Addresses
Primary practice location
4216 Silver Spring Rd
Perry Hall, MD 21128-9659
Mailing address
4004 Tidewood Rd
Baltimore, MD 21220-2376
Phone (410) 893-4600
Other providers in Perry Hall, MD
- Charles Imwold
- Kendra Genelle Isaac
- J Nicholas Leyko DDS PA
- Laura Jago
- Kathryn Michele Jenkins
- Lauren Johnson
- Jana Lynn Kaplan-Fastow
- Barbara A Karczeski
- Inna Kats
- Donna Keaveney
All providers in Perry Hall, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.