Individual provider Active NPI

Joanna Magee, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1366844383
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008564 Issued in VA
Practice address
3 Boars Head LN Ste C
Charlottesville, VA 22903-4604
Phone
(434) 566-0113
Fax
(703) 280-9518
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 0904008564 VA Primary

Addresses

Primary practice location

3 Boars Head LN Ste C
Charlottesville, VA 22903-4604

Mailing address

3 Boars Head LN Ste C
Charlottesville, VA 22903-4604
Phone (434) 566-0113

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Charlottesville

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2021 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1366844383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOARS HEAD LN STE C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034604",
            "telephone_number": "434-566-0113",
            "fax_number": "703-280-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BOARS HEAD LN STE C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034604",
            "telephone_number": "434-566-0113",
            "fax_number": "703-280-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE",
        "first_name": "JOANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Charlottesville",
            "affiliation": "N",
            "address_1": "3 Boars Head Ln Ste C",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229034604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.