Individual provider Active NPI

Tonya Johnson, LCSW

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1750710232
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008625 Issued in VA
Practice address
610 Thimble Shoals Blvd # 403
Newport News, VA 23606-2573
Phone
(757) 291-3339
Fax
(757) 291-3339
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008625 VA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

610 Thimble Shoals Blvd # 403
Newport News, VA 23606-2573

Mailing address

610 Thimble Shoals Blvd # 403
Newport News, VA 23606-2573
Phone (757) 291-3339

Other practice location 1

3001 W Mercury Blvd
Hampton, VA 23666-3930
Phone (914) 224-1365

Other practice location 2

1919 Commerce Dr Ste 240
Hampton, VA 23666-4269
Phone (757) 291-3339

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
I20150225001486 VA Practitioner - Clinical Social Worker 1456677053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tonya Dorline Johnson LCSW LLC CurrentSince Aug 21, 2024 Accepting new patients

Locations

610 Thimble Shoals Blvd
Ste 403
Newport News, VA 23606
Phone (757) 534-7840

Organizations & group practices 1

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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1750710232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD # 403",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062573",
            "telephone_number": "757-291-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD # 403",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062573",
            "telephone_number": "757-291-3339",
            "fax_number": "757-291-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 W Mercury Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236663930",
            "country_code": "US",
            "telephone_number": "914-224-1365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 Commerce Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236664269",
            "country_code": "US",
            "telephone_number": "757-291-3339",
            "fax_number": "757-534-7844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TONYA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008625",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.