Individual provider Active NPI

Brittany Nicole Johnson

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1215489208
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010165 Issued in VA
Practice address
150 Riverside Pkwy Ste 207
Fredericksburg, VA 22406-1094
Phone
(540) 779-8398
Fax
(540) 779-8398
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 0904010165 VA Primary

Addresses

Primary practice location

150 Riverside Pkwy Ste 207
Fredericksburg, VA 22406-1094

Mailing address

150 Riverside Pkwy Ste 207
Fredericksburg, VA 22406-1094
Phone (540) 779-8398

Other practice location 1

5608 Southpoint Centre Blvd Ste 101
Fredericksburg, VA 22407-2608
Phone (540) 426-1068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20241026000183 DC Practitioner - Clinical Social Worker 3870868839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010165VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Sep 25, 2024 Accepting new patients
Jurni Consulting, LLC CurrentSince Dec 4, 2023 Accepting new patients
Anelas Holistic Counseling PLLC Clinical PastSince May 1, 2021 Accepting new patients
Behavioral Awareness Center, P.C. Past Accepting new patients
Behavioral Awareness Center, PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

150 Riverside Pkwy
Ste 207
Fredericksburg, VA 22406
Phone (540) 446-1085

5608 Southpoint Centre Blvd
Ste 101
Fredericksburg, VA 22407
Phone (540) 426-1068

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1215489208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVERSIDE PKWY STE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061094",
            "telephone_number": "540-779-8398",
            "fax_number": "540-301-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVERSIDE PKWY STE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061094",
            "telephone_number": "540-779-8398",
            "fax_number": "540-779-8398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5608 Southpoint Centre Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224072608",
            "country_code": "US",
            "telephone_number": "540-426-1068",
            "fax_number": "540-301-5472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.