MEDICARE: HILLARY JOHNS-PARSON 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
1	1041C0700X	Clinical Social Worker	4459	HI
2	1041S0200X	School Social Worker
3	1041C0700X	Clinical Social Worker	0904011324	VA

General Provider Information

NPI Number	:	1508477746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILLARY JOHNS-PARSON LCSW

Provider Business Mailing Address
First Line	:	PSC 831 BOX 1995
Second Line	:
City	:	FPO
State	:	AE
Zip	:	09902-0020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 N VIRGINIA AVE STE 203
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-3323
Country	:	US
Telephone Number	:	434-202-4080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2020
Last Update Date	:	04/24/2023

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