Provider Demographics
NPI:1174872006
Name:ORJUELA, JOHAN (LCSW-C)
Entity type:Individual
Prefix:
First Name:JOHAN
Middle Name:
Last Name:ORJUELA
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:JOHAN
Other - Middle Name:
Other - Last Name:ORJUELA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW-C, LICSW
Mailing Address - Street 1:7412 GEORGIA AVE NW
Mailing Address - Street 2:#4
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1754
Mailing Address - Country:US
Mailing Address - Phone:240-899-3245
Mailing Address - Fax:
Practice Address - Street 1:4890 BATTERY LN APT 308
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2714
Practice Address - Country:US
Practice Address - Phone:240-899-3245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD181971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD816700100Medicaid