Individual provider Active NPI

Melissa Johnson, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1770455271
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004831 Issued in VA
Practice address
8310 Midlothian Tpke
North Chesterfield, VA 23235-5163
Phone
(804) 447-6382
Fax
(804) 447-6383
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 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 0904004831 VA Primary

Addresses

Primary practice location

8310 Midlothian Tpke
North Chesterfield, VA 23235-5163

Mailing address

8310 Midlothian Tpke
North Chesterfield, VA 23235-5163
Phone (804) 447-6382

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
I20251205002520 VA Practitioner - Clinical Social Worker 2567955685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lighthouse Behavioral Health Center, LLCGroup PAC ID 5092021949, 22 clinicians

Practice addresses (Care Compare)

8310 Midlothian Tpke
North Chesterfield, VA 23235-5163
Phone (804) 447-6382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004831VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Health Center, LLC Clinical CurrentSince Oct 27, 2025 Accepting new patients

Locations

8310 Midlothian Tpke
North Chesterfield, VA 23235
Phone (804) 447-6382

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": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1770455271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355163",
            "telephone_number": "804-447-6382",
            "fax_number": "804-447-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355163",
            "telephone_number": "804-447-6382",
            "fax_number": "804-447-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.