Organization Active NPI

Joe T. Johnson, LCSW LLC

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1770903379
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003387 Issued in VA
Legal business name
JOE T. JOHNSON, LCSW LLC
Practice address
404 Chatham SQ Park
Square Office Park
Fredericksburg, VA 22405-2544
Phone
(540) 373-1200
Fax
(540) 373-1283
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Joe Thomas Johnson, LCSW
Title
Sole Proprietor
Phone
(540) 809-1589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904003387 VA Primary

Addresses

Primary practice location

404 Chatham SQ Park
Square Office Park
Fredericksburg, VA 22405-2544

Mailing address

10323 Edinburgh Dr
Spotsylvania, VA 22553-1733
Phone (540) 809-1589

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1770903379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10323 EDINBURGH DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531733",
            "telephone_number": "540-809-1589",
            "fax_number": "540-741-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CHATHAM SQ PARK",
            "address_2": "SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052544",
            "telephone_number": "540-373-1200",
            "fax_number": "540-373-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE T. JOHNSON, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "540-809-1589",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.