| Erica E Johnson, LCSW-C | |
|
4216 Silver Spring Rd, Perry Hall, MD 21128-9659 | |
| (410) 893-4600 | |
| (443) 640-4358 |
| Full Name | Erica E Johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4216 Silver Spring Rd, Perry Hall, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861966582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 23998 (Maryland) | Primary |
| 104100000X | Social Worker | 23998 (Maryland) | Secondary |
| Entity Name | Safe Harbor Behavioral Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
| Entity Name | Victorious Mental Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962032995 PECOS PAC ID: 7719300946 Enrollment ID: O20200707002307 |
| Entity Name | Erica E Johnson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982399705 PECOS PAC ID: 3971959859 Enrollment ID: O20231030000457 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica E Johnson, LCSW-C 4004 Tidewood Rd, Baltimore, MD 21220-2376 Ph: (410) 893-4600 | Erica E Johnson, LCSW-C 4216 Silver Spring Rd, Perry Hall, MD 21128-9659 Ph: (410) 893-4600 |
Donna Keaveney, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5125 E Joppa Rd, Perry Hall, MD 21128 Phone: 410-569-9497 Fax: 410-569-0094 | |
Mr. Harold Paschall, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9316 Indian Trail Way, Perry Hall, MD 21128 Phone: 410-256-0955 | |
Mr. James Lawson Clements, MSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 Bangert Ave, Perry Hall, MD 21128 Phone: 410-256-6070 | |
Kristin Laferty, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4216 Silver Spring Rd, Perry Hall, MD 21128 Phone: 410-529-5150 Fax: 410-569-0094 | |
Mrs. Sarah Anne Roche, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9604 Redwing Dr, Perry Hall, MD 21128 Phone: 410-652-5064 | |
Meg Fitzpatrick, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4216 Silver Spring Rd, Perry Hall, MD 21128 Phone: 410-893-4600 Fax: 443-640-4358 |