| Ms Vienna Marvette Johnson, MSW | |
|
7503 Surratts Rd, Clinton, MD 20735-3358 | |
| (301) 868-8000 | |
| Not Available |
| Full Name | Ms Vienna Marvette Johnson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 27 Years |
| Location | 7503 Surratts Rd, Clinton, Maryland |
| 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 |
|---|---|---|---|
| 1477853604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12880 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Luminis Health Medical Group, Llc | 2860447315 | 465 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Entity Name | Professional Services Of Holy Cross |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487692828 PECOS PAC ID: 3779516992 Enrollment ID: O20050916000745 |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649248485 PECOS PAC ID: 2860447315 Enrollment ID: O20080707000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Vienna Marvette Johnson, MSW 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: () - | Ms Vienna Marvette Johnson, MSW 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (301) 868-8000 |
Kiya Snow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12704 Piscataway Landing Dr, Clinton, MD 20735 Phone: 240-320-3974 | |
Ms. Linda Elaine Studevent-ward, LICSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8201 Anaio Ct, Clinton, MD 20735 Phone: 202-731-8006 | |
Kellie Jamison, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10401 Hospital Dr, Suite G-03, Clinton, MD 20735 Phone: 301-856-6000 Fax: 301-856-8398 | |
Tameka Bullock, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7105 Redwood Branch Ct, Clinton, MD 20735 Phone: 240-299-5985 | |
Monica Ayers, MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9015 Woodyard Rd Ste 208, Clinton, MD 20735 Phone: 301-651-3731 | |
Jean Chappell, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9006 Woodyard Rd, Clinton, MD 20735 Phone: 301-856-3636 Fax: 301-856-3633 | |
Michelle Roque, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9015 Woodyard Rd, Clinton, MD 20735 Phone: 240-244-2924 |