| Doctor Name: | MS. JOHANNA S WAYNE |
| NPI Number: | 1053465211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C |
| License Number: | 139095 |
| Business Practice Address: | 2021a Emmorton Rd Bel Air, MD - 210158962 |
| Business Phone Number: | 4106881058 |
| Business Fax Number: | 4105693738 |
| Mailing Address: | 1115 Oakwood Ln, BEL AIR |
| State: | MD |
| Postal Code: | 210152509 |
| Phone Number: | 4106881058 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 10/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 139095 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |