Active NPI
Linda P. Johnson
- Case Management Agency
- Woodbridge, VA
National Provider Identifier
1215128665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 0904002629
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda P. Johnson
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010100046 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Woodbridge, VA
- NPI 1962494351
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.