Individual provider Active NPI

Michelle J Johnson, LCSW

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1003432949
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011536 Issued in VA
Practice address
602 Warwickshire CT
Newport News, VA 23605-1134
Phone
(757) 550-5266
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0904011536 VA
Clinical Social Worker 1041C0700X 0904011536 VA Primary

Addresses

Primary practice location

602 Warwickshire CT
Newport News, VA 23605-1134

Mailing address

602 Warwickshire CT
Newport News, VA 23605-1134
Phone (757) 550-5266

Other names 1

  • Michelle J Lankford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730003857 VA Practitioner - Clinical Social Worker 3577988096 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904011536VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jul 10, 2020 Accepting new patients
Michael S. Weissman, PH.D.,LTD Professional CurrentSince Jul 13, 2020 Accepting new patients
Dominion Psychological Associates LLC Clinical Current Accepting new patients
Lswhb LLC CurrentSince Aug 2, 2022 Accepting new patients
Psychotherapy Resources of Norfolk LTD Professional PastSince Jul 13, 2020 Accepting new patients

Locations

3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

5818D Harbour View Blvd
Unit 250
Suffolk, VA 23435
Phone (513) 752-8000

Interoperability endpoints

  • Direct secure messaging: ethoscareinc.michellejohnson@151221.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1003432949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 WARWICKSHIRE CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051134",
            "telephone_number": "757-550-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 WARWICKSHIRE CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051134",
            "telephone_number": "757-550-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0904011536",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LANKFORD",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.