Joanne Louise Strawder, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007474 Issued in VA

Practice address

1380 Central Park Blvd Ste 205
Fredericksburg, VA 22401-4926

Phone

(540) 602-2545

Fax

(540) 602-2542

NPI assigned

Jan 11, 2011

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Joanne Louise McCulley Former name

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revelations Counseling and Consulting, LLCGroup PAC ID 3971774209, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Revelations Counseling & Consulting, LLC

  • Community/Behavioral Health Agency
  • Fredericksburg, VA
  • NPI 1275813347
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1679878300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 CENTRAL PARK BLVD STE 205",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014926",
            "telephone_number": "540-602-2545",
            "fax_number": "540-602-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 CENTRAL PARK BLVD STE 205",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014926",
            "telephone_number": "540-602-2545",
            "fax_number": "540-602-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAWDER",
        "first_name": "JOANNE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5038837533",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "MCCULLEY",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Todd Storm, D.D.S.
• Tee Jaye Storm, FNP-BC
• Alyssa Stover, RBT
• Brittany Jalesa Stratton, LCSW
• Guy Scott Strawder, LMFT
• Georgena H Strawderman
• Stephanie M Strazinsky, PA
• Sarah Maria Strenio, LCSW
• Strive Healthcare LLC
• Structural Health Inc. (Central Park Sports Rehab)

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.