Johanna Scaglione, LCSW
Individual provider Active NPI Clinical Social Worker · Buffalo Junction, VA
NPI 1891894341 · NPPES record last updated Mar 7, 2016
Key facts
- NPI
- 1891894341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904006414 (VA)
- Practice address
- 300 Lakeview LN
Buffalo Junction, VA 24529-1504 - Phone
- (434) 738-7562
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904006414 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Behavioral Health | Clinical | Past | Accepting new patients |
| Errol R. Nadler LCSW, P.C. | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904006414 | VA | Yes |
Addresses
Primary practice location
300 Lakeview LN
Buffalo Junction, VA 24529-1504
Mailing address
300 Lakeview LN
Buffalo Junction, VA 24529-1504
Phone (434) 738-7562
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945514 | Medicaid | VA |
Other names
- Ms. Johanna Murdock
Other providers in Buffalo Junction, VA
- Catherine Adams
- Pamela P. Bensen
- Samantha Dorolee-Williams Bowes
- Catherine Adams Nutrition Counseling LLC
- Gladys Mosley
All providers in Buffalo Junction, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.