Provider Demographics
NPI:1396455275
Name:JOHNS, LORI (LMSW)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:JOHNS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14805 FIRESIDE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5542
Mailing Address - Country:US
Mailing Address - Phone:540-256-1070
Mailing Address - Fax:
Practice Address - Street 1:10411 MOTOR CITY DR STE 500
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1005
Practice Address - Country:US
Practice Address - Phone:540-256-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker