JOE T. JOHNSON, LCSW LLC (NPI# 1770903379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770903379 |
| Entity Type | Organization |
| Organization Name | JOE T. JOHNSON, LCSW LLC |
| Practice Address |
404 Chatham Sq Park Square Office Park Fredericksburg VA 22405-2544 |
| Mailing Address |
10323 Edinburgh Dr Spotsylvania VA 22553-1733 |
| Practice Telephone | 5403731200 |
| Practice Fax Number | 5403731283 |
| Mailing Telephone | 5408091589 |
| Mailing Fax Number | 5407413918 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Authorized Official Name | JOE THOMAS JOHNSON (SOLE PROPRIETOR) |
| Authorized Official Telephone | 5408091589 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904003387 | VA | Behavioral Health & Social Service Providers |
| Street Address |
404 CHATHAM SQ PARK SQUARE OFFICE PARK |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22405-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217442 | Rappahannock Area Young Men's Christian Association | Health Educator | 212 Butler Road, Falmouth, VA 22405 | 2017-10-24 |
| 1518334606 | Darrell Dean Dila | Physical Therapist | 212 Butler Rd, Fredericksburg, VA 22405 | 2015-08-25 |
| 1790108215 | Charise Hansen | Occupational Therapist | 121 Boscobel Rd, Fredericksburg, VA 22405 | 2014-02-04 |
| 1033494984 | Trinity Home Health | Home Health | 111 Braemar Place, Fredericksburg, VA 22405 | 2011-10-11 |
| 1053526350 | Steffani A. Deas | Optometrist | 110 Cambridge Street, Access Eye Centers, Fredericksburg, VA 22405 | 2007-05-11 |
| 1689899726 | Clear Care Dental Pllc. | Preferred Provider Organization | 10 Chatham Heights Rd., Fredericksburg, VA 22405 | 2007-04-16 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| 1134137086 | Premier Eyecare, Angela Tsai, O.d. and Associates, P.C. | Optometrist | 230 Butler Road, Fredericksburg, VA 22405 | 2006-08-04 |
| 1952383606 | Kash Eagleton | Physical Therapist | 421 Chatham Square Office Park, Fredericksburg, VA 22405 | 2005-11-17 |
| 1538700216 | Hanna Ouellette | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2019-10-03 |
| Find all providers in zip 22405 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893147 | Danielle Christina Nieto | Social Worker | 4528 Plank Rd # A1, Fredericksburg, VA 22407-0141 | 2019-01-01 |
| 1982126280 | James Michael Royea | Social Worker | 1498 Boos Ln, Fredericksburg, TX 78624-9782 | 2017-07-09 |
| 1770936932 | Randa Kirchner | Social Worker | 2835 Cherry Mountain Loop, Fredericksburg, TX 78624-7791 | 2016-07-22 |
| 1558718759 | Michelle Anne Buhrandt | Social Worker | 300 Maden St, Fredericksburg, VA 22407-6354 | 2016-05-17 |
| 1306214051 | Elizabeth A. Soukup-taylor | Social Worker | 406 Chatham Square Office Park Ste 102, Fredericksburg, VA 22405-2585 | 2015-09-11 |
| 1982090056 | Kareemah Stepney | Social Worker | 7204 Alpha Ct, Fredericksburg, VA 22407-2559 | 2015-04-15 |
| 1710378286 | Barbara Somers Atkins | Social Worker | 10600 Limburg Ct, Fredericksburg, VA 22408-0269 | 2015-02-05 |
| 1831516731 | Staci Blair Marzolino | Social Worker | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2014-03-28 |
| 1952731481 | Tanya Lynn Meline | Social Worker | 20 Pendleton Rd, Fredericksburg, VA 22405-3041 | 2013-11-19 |
| 1023359593 | Traci Lee Demerchant | Social Worker | 10712 Ballantraye Dr, Suite 304, Fredericksburg, VA 22407-4702 | 2013-03-08 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.