Individual provider Active NPI

Johanna Cordell, LCSW

  • Clinical Social Worker
  • Onancock, VA
National Provider Identifier
1659845097
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016525 Issued in VA
Practice address
17263 Dingleys Mill Road
Onancock, VA 23417
Phone
(717) 658-0868
NPI assigned
Jan 18, 2019
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 0904016525 VA Primary

Addresses

Primary practice location

17263 Dingleys Mill Road
Onancock, VA 23417

Mailing address

17263 Dingleys Mill Road
Onancock, VA 23417
Phone (717) 658-0868

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
I20241113003758 VA Practitioner - Mental Health Counselor 3375077373 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904016525VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Community MH Mr Sas Services Board CurrentSince Sep 12, 2024 Accepting new patients
Waypoint Counseling, LLC CurrentSince May 15, 2025 Accepting new patients
Eastern Shore Community Services Board CurrentSince Sep 12, 2024 Accepting new patients
PGC Counseling, LLC Past Accepting new patients

Locations

19056 Greenbush Rd
Parksley, VA 23421
Phone (757) 665-1260

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13080/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1659845097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17263 DINGLEYS MILL ROAD",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "23417",
            "telephone_number": "717-658-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17263 DINGLEYS MILL ROAD",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "23417",
            "telephone_number": "717-658-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDELL",
        "first_name": "JOHANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onancock, VA

Sources for this page

Verify at the official NPI Registry.