Healthcare Provider Details

I. General information

NPI: 1184555120
Provider Name (Legal Business Name): LAURA BESSE JOHNSON MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 SLEEPY HOLLOW RD STE B
FALLS CHURCH VA
22044-2082
US

IV. Provider business mailing address

4005 GIBBS ST
ALEXANDRIA VA
22309-2556
US

V. Phone/Fax

Practice location:
  • Phone: 703-536-2000
  • Fax:
Mailing address:
  • Phone: 720-273-4292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0906017367
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: