Johnson, Linda P

Johnson, Linda P is an individual health care provider with primary practice located at 12890 Harbor Dr , Woodbridge VA 22192-2921. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Linda P can be contacted via phone (703) 541-1606.

Contact Information

Primary practice address
12890 Harbor Dr Woodbridge VA 22192-2921
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002629 Virginia

Profile Details

NPI number 1962494351
LBN Legal business name Johnson, Linda P
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Mar 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962494351 NPPES
Virginia MEDICAID 892-0974

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