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Contact Information

ANDREA M JOHNSON, LCSW
9403 POCOHANTAS TRAIL
PROVIDENCE FORGE, VA23140
 Phone: 804-966-5959
 Fax: 804-966-5694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ANDREA M JOHNSON · (Female)

NPI # 1326189226
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/12/2007
Last updated 09/26/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0904003117
  • VA Other 110331 ANTHEM
  • VA Other 272779-000 MAGELLAN
  • VA Other 2169315 MAMSI
  • VA Other O84784 OPTIMA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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