MEDICARE: JOHNS HOPKINS COMMUNITY PHYSICIANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1477364651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNS HOPKINS COMMUNITY PHYSICIANS

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:	410-933-6423
Fax Number	:

Provider Business Practice Location Address
First Line	:	10751 FALLS RD STE 304
Second Line	:
City	:	LUTHERVILLE TIMONIUM
State	:	MD
Zip	:	21093-4551
Country	:	US
Telephone Number	:	410-955-5000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN KRAVET
Credential	:
Telephone Number	:	410-735-4800

Provider Enumeration Date	:	01/16/2025
Last Update Date	:	06/05/2026

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