Provider Demographics
NPI:1194965095
Name:JOHNSON, RAAMAH THOMAS (LCSW)
Entity type:Individual
Prefix:
First Name:RAAMAH
Middle Name:THOMAS
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3041 KING RICHARDS CT S
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-9426
Mailing Address - Country:US
Mailing Address - Phone:256-457-1216
Mailing Address - Fax:
Practice Address - Street 1:35 S DUKE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-1401
Practice Address - Country:US
Practice Address - Phone:717-851-8299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2022-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW023034101YM0800X, 101YP2500X, 221700000X, 1041C0700X
NY44SL055115101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist