IndividualActive
Carole Johnson, RN, CS, LICSW
NPI 1285760330 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Gaithersburg, MD
Provider details
- NPI number
- 1285760330
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, CS, LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- R084348 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
15 E Deer Park Dr
Suite 101b
Gaithersburg, MD 20877-2000
Phone: (301) 881-4884
Fax: (301) 740-3577
Approximate (ZIP-level) locationGet directions
Mailing address
9905 Maple Leaf Dr
Montgomery Village, MD 20886-1133
Registry dates
- Enumerated
- 2007-02-25
- Last updated
- 2007-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.