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Organization
SUSAN A JOHNS LCSWC PA
Active
Organization
SUSAN A JOHNS LCSWC PA
Active
Other names
Center for Well Being
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A JOHNS LCSW-C, MSW (DIRECTOR AND CLINICAL SOCIAL WORKER)
(410) 744-2066
Entity
Organization
Contact information
Practice address
405 FREDERICK RD, SUITE 263, BALTIMORE, MD 21228-4647
(410) 744-2066
Mailing address
405 FREDERICK RD, SUITE 263, BALTIMORE, MD 21228-4647
(410) 744-2066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06934
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025945
VALUE OPTIONS
—
05
—
053001800
—
MD
01
—
119884
APS
—
01
—
226385
KAISER PERMANENTE
—
01
—
4671917
AETNA
—
01
—
6216677
UNITED BEHAVIORAL HEALTH
—
01
—
IP273856
MAGELLAN
—
01
—
KT20
BLUE CROSS BLUE SHIELD
MD
01
—
T4660001
BCBS FEDERAL
—
Enumeration date
05/19/2006
Last updated
09/30/2011
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