Individual
MS. CAROLYN S. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C, CEAP
Contact information
Practice address
1003 MYRTLE AVE, BALTIMORE, MD 21201-1444
(667) 379-4922
Mailing address
1003 MYRTLE AVE, BALTIMORE, MD 21201-1444
(667) 379-4922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04058
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404908000
—
MD
Enumeration date
07/03/2006
Last updated
09/29/2023
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