Individual provider Active NPI

Venitta Renea Johnson, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1124368691
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008135 Issued in VA
Practice address
3388 Princess Anne Rd Ste 2001
Virginia Beach, VA 23456-2612
Phone
(757) 507-7270
Fax
(833) 406-3955
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 0904008135 VA Primary

Addresses

Primary practice location

3388 Princess Anne Rd Ste 2001
Virginia Beach, VA 23456-2612

Mailing address

224 Great Bridge Blvd
Chesapeake Community Services Board
Chesapeake, VA 23320-3904
Phone (757) 547-9334

Other practice location 1

224 Great Bridge Blvd
Chesapeake Community Services Board
Chesapeake, VA 23320-3904
Phone (757) 547-9334

Other names 1

  • Venitta R Johnson Other 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
I20151121000302 VA Practitioner - Clinical Social Worker 5496055519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Suffolk Psychotherapy, Inc.Group PAC ID 9234491192, 4 clinicians

Practice addresses (Care Compare)

3388 Princess Anne Rd
Suite 2001
Virginia Beach, VA 23456-2612
Phone (757) 507-7270

425 W Washington St
Suite 4
Suffolk, VA 23434-5320
Phone (757) 809-5376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City of Chesapeake CurrentSince Jun 1, 2021 Accepting new patients
Sentara Medical Group CurrentSince Sep 20, 2024 Accepting new patients
Sentara Medical Group CurrentSince Sep 20, 2024 Accepting new patients
City of Chesapeake CurrentSince Jun 1, 2021 Accepting new patients
Suffolk Psychotherapy, Inc. Clinical CurrentSince Jan 10, 2018 Accepting new patients

Locations

224 Great Bridge Blvd
Chesapeake, VA 23320
Phone (757) 547-9334

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

425 W Washington St
Ste 4
Suffolk, VA 23434
Phone (757) 209-4607

114 N Main St
Ste 102
Suffolk, VA 23434
Phone (757) 809-5376

3388 Princess Anne Rd
Ste 2001
Virginia Beach, VA 23456
Phone (757) 227-5055

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": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1124368691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 GREAT BRIDGE BLVD",
            "address_2": "CHESAPEAKE COMMUNITY SERVICES BOARD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203904",
            "telephone_number": "757-547-9334",
            "fax_number": "757-819-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 PRINCESS ANNE RD STE 2001",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234562612",
            "telephone_number": "757-507-7270",
            "fax_number": "833-406-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Great Bridge Blvd",
            "address_2": "Chesapeake Community Services Board",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203904",
            "country_code": "US",
            "telephone_number": "757-547-9334",
            "fax_number": "757-819-6292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VENITTA",
        "middle_name": "RENEA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENITTA",
            "last_name": "JOHNSON",
            "middle_name": "R",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.