Anne Phanuelle Charles Johnson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

35284 Issued in MD

Practice address

4500 Black Rock Rd Ste 103
Hampstead, MD 21074-2649

Phone

(443) 690-8041

NPI assigned

Aug 25, 2026

Last updated

Oct 13, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1891602959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BLACK ROCK RD STE 103",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742649",
            "telephone_number": "443-690-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BLACK ROCK RD STE 103",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742649",
            "telephone_number": "443-690-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 N Court St Ste B",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211575152",
            "country_code": "US",
            "telephone_number": "877-806-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES JOHNSON",
        "first_name": "ANNE",
        "middle_name": "PHANUELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "35284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.