Organization Active NPI

Tonya Dorline Johnson LCSW LLC

  • Adult Mental Health Clinic/Center
  • Newport News, VA
National Provider Identifier
1801394382
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TONYA DORLINE JOHNSON LCSW LLC
Practice address
610 Thimble Shoals Blvd Ste 404
Newport News, VA 23606-4509
Phone
(757) 291-3339
NPI assigned
Jan 30, 2018
Organization subpart
Yes
Parent organization
TONYA DORLINE JOHNSON LCSWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Mrs. Tonya Dorline Johnson, LCSWNPI 1750710232
Title
Ceo
Phone
(757) 291-3339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

610 Thimble Shoals Blvd Ste 404
Newport News, VA 23606-4509

Mailing address

610 Thimble Shoals Blvd Ste 403
Newport News, VA 23606-2573
Phone (757) 534-7840

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1801394382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD STE 403",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062573",
            "telephone_number": "757-534-7840",
            "fax_number": "757-534-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD STE 404",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064509",
            "telephone_number": "757-291-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONYA DORLINE JOHNSON LCSW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TONYA DORLINE JOHNSON LCSW",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "DORLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-291-3339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.