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NPI Code Detail

MEDICARE: MS. LYNETTE KATHERINE JOHNSON LCSW

MEDICARE:  MS. LYNETTE KATHERINE JOHNSON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0906010175VA

General Provider Information

NPI Number : 1073141719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNETTE KATHERINE JOHNSON LCSW
Provider Business Mailing Address
First Line : 8313 NATHAN AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23518-2239
Country : US
Telephone Number : 757-776-9915
Fax Number :
Provider Business Practice Location Address
First Line : 6800 PARAGON PL STE 237
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1651
Country : US
Telephone Number : 804-562-9997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 12/16/2025

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Directions to “ MS. LYNETTE KATHERINE JOHNSON LCSW” Practice Location

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