Provider Demographics
NPI:1003014564
Name:JOHNSON, KA'RA CAPRIE (LCSW-C, LCSW)
Entity type:Individual
Prefix:
First Name:KA'RA
Middle Name:CAPRIE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LCSW-C, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14306 KATHLEEN LN
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-3012
Mailing Address - Country:US
Mailing Address - Phone:330-256-3850
Mailing Address - Fax:
Practice Address - Street 1:14306 KATHLEEN LN
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-3012
Practice Address - Country:US
Practice Address - Phone:330-256-3850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040166881041C0700X
MD262741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical