Brooke Johnson, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BROOKE JOHNSON, LCSW, PLLC

Practice address

105 N Virginia Ave Ste 306
Falls Church, VA 22046-3342

Phone

(703) 844-2539

NPI assigned

Dec 9, 2021

Organization subpart

No

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

Authorized official

Name

Brooke Johnson, LCSWNPI 1265724009

Title

Owner

Phone

(703) 844-2539

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Lori Johnson, LCSW

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1265724009

  Clinical, DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1093474827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N PARK DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032621",
            "telephone_number": "301-661-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N VIRGINIA AVE STE 306",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463342",
            "telephone_number": "703-844-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE JOHNSON, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-844-2539",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Meglasson Brody, DNAP, RN
• Cassandra Broffitt
• Oscar L Bronsther, M.D.
• Rachel Beth Bronsther, M.D.
• Bronwen Rankin PLLC
• Brooks Chiropractic and Rehab LLC
• Joshua M Brooks
• Lauren Broschak, MSW, LCSW, LICSW
• Dana Carol Brotman, PHD
• Sanford Brotman, D.D.S.

• All providers in Falls Church, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.