Individual provider Active NPI

Lynette Katherine Johnson, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1073141719
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0906010175 Issued in VA
Practice address
6800 Paragon PL Ste 237
Richmond, VA 23230-1651
Phone
(804) 562-9997
NPI assigned
Mar 30, 2020
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0906010175 VA Primary

Addresses

Primary practice location

6800 Paragon PL Ste 237
Richmond, VA 23230-1651

Mailing address

8313 Nathan Ave
Norfolk, VA 23518-2239
Phone (757) 776-9915

Other practice location 1

6800 Paragon Pl Ste 200
Richmond, VA 23230-1652
Phone (804) 562-9997

Other practice location 2

7960 Donegan Dr Ste 200-223
Manassas, VA 20109-8236
Phone (571) 208-0592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0906010175VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1073141719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 NATHAN AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235182239",
            "telephone_number": "757-776-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARAGON PL STE 237",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301651",
            "telephone_number": "804-562-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Paragon Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301652",
            "country_code": "US",
            "telephone_number": "804-562-9997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7960 Donegan Dr Ste 200-223",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201098236",
            "country_code": "US",
            "telephone_number": "571-208-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNETTE",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906010175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.