IndividualActive
Johnathan South, LMSW
NPI 1205572997 · Social Worker · Earleville, MD
Johnathan South, LMSW is a Social Worker provider in Earleville, MD (NPI 1205572997).
Provider details
- NPI number
- 1205572997
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- License
- 24025 (MD)
Practice location
314 Grove Neck Rd
Earleville, MD 21919-3008
Phone: (855) 740-1921
Street-level locationGet directions
Mailing address
2701 Renaissance Blvd Fl 4
King of Prussia, PA 19406-2781
Registry dates
- Enumerated
- 2022-05-06
- Last updated
- 2022-05-06
- Certified
- 2022-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.