Organization Active NPI

Linda P. Johnson

  • Case Management Agency
  • Woodbridge, VA
National Provider Identifier
1215128665
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0904002629 Issued in VA
Legal business name
LINDA P. JOHNSON
Practice address
12890 Harbor Dr
Woodbridge, VA 22192-2921
Phone
(706) 541-1606
Fax
(703) 670-9453
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Mrs. Linda P. JohnsonNPI 1962494351
Title
LCSW
Phone
(703) 541-1606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0904002629 VA Primary

Addresses

Primary practice location

12890 Harbor Dr
Woodbridge, VA 22192-2921

Mailing address

12890 Harbor Dr
Woodbridge, VA 22192-2921
Phone (706) 541-1606

Other identifiers 1

IdentifierTypeStateIssuer
010100046MedicaidVA

National Provider Directory

National Provider Directory

Locations

12890 Harbor Dr
Woodbridge, VA 22192
Phone (571) 316-1020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1215128665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12890 HARBOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922921",
            "telephone_number": "706-541-1606",
            "fax_number": "703-670-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12890 HARBOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922921",
            "telephone_number": "706-541-1606",
            "fax_number": "703-670-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA P. JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "703-541-1606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "0904002629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010100046",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.