Michele B. Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009080 Issued in VA

Practice address

9950 Courthouse Rd
Charles City, VA 23030-3434

Phone

(804) 829-6600

Fax

(804) 829-6182

NPI assigned

Aug 28, 2015

Last updated

Aug 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michele L. Burtner 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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Virginia Health Services Inc

  dba CVHS Downtown Petersburg

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment Care Compare group NPD
• Middle Peninsula Northern Neck Mental Health & Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gloucester, VA
  • NPI 1497717615
  Medicare reassignment NPD
• Central Virginia Health Services Inc

  dba CVHS Charles City

  • Federally Qualified Health Center (FQHC)
  • Charles City, VA
  • NPI 1518095280
  NPD
• Central Virginia Health Services Inc

  dba CVHS Blue Devils Health Center

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD
• Middle Peninsula-Northern Neck Mental Health and Mental Retardation

  dba Rural Infant Services Program

  • Speech-Language Pathologist
  • Urbanna, VA
  • NPI 1992879282
  NPD

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1710354451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1184",
            "city": "DUNNSVILLE",
            "state": "VA",
            "postal_code": "224541184",
            "telephone_number": "804-761-0838",
            "fax_number": "804-695-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 COURTHOUSE RD",
            "city": "CHARLES CITY",
            "state": "VA",
            "postal_code": "230303434",
            "telephone_number": "804-829-6600",
            "fax_number": "804-829-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELE",
        "middle_name": "B.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "BURTNER",
            "middle_name": "L.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen E Fox, PSY.D
• Paige Hennis, LPC-0701008497
• Indian Health Service Richmond Service Unit (Mid-Atlantic Tribal Health Center)
• Indian Health Service Richmond Service Unit (Mid-Atlantic Tribal Health Center Pharmacy)
• Joy Johns
• Cathy Kelly, NP
• Cheryl F Lodge, MSCCCSLP
• Cynthia Louise Reed, FNP
• Julie Marie Smyser, CNP
• Nick Starke

• Clinical Social Worker in Charles City, VA
• Providers in Charles City, 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 Aug 6, 2019; 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.