| Andrea Michelle Johnson, LCSW | |
|
9403 Pocohantas Trail, Providence Forge, VA 23140 | |
| (804) 966-5959 | |
| (804) 966-5694 |
| Full Name | Andrea Michelle Johnson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 33 Years |
| Location | 9403 Pocohantas Trail, Providence Forge, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326189226 | NPI | - | NPPES |
| 2169315 | Other | VA | MAMSI |
| 272779-000 | Other | VA | MAGELLAN |
| 110331 | Other | VA | ANTHEM |
| O84784 | Other | VA | OPTIMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003117 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brshelton Companies Llc | 3779944699 | 10 |
| Entity Name | Brshelton Companies Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174222160 PECOS PAC ID: 3779944699 Enrollment ID: O20230725002433 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Michelle Johnson, LCSW 10299 Woodman Rd, Glen Allen, VA 23060-4419 Ph: (804) 727-8500 | Andrea Michelle Johnson, LCSW 9403 Pocohantas Trail, Providence Forge, VA 23140 Ph: (804) 966-5959 |
Mr. Kent Paul Radwani, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 Pocohontas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 | |
Jessica A Pugh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 Pocahontas Trl # A, Providence Forge, VA 23140 Phone: 804-727-8970 | |
Ms. Janice V. Atwell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9403 Pocohantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 | |
Steven David, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3530 N Courthouse Rd, Providence Forge, VA 23140 Phone: 804-409-7525 Fax: 804-315-9380 | |
Ms. Wendy Dickerson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 A Pocahantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 | |
Mr. Keith Oso Engel, LCSW, BCD Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3530 N Courthouse Rd, Providence Forge, VA 23140 Phone: 804-409-7525 Fax: 804-315-9380 |