| Renee K Johnson, LCSW | |
|
400 Medical Dr, Suite A, Hampton, VA 23666-1767 | |
| (757) 788-0400 | |
| (757) 788-0957 |
| Full Name | Renee K Johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 400 Medical Dr, Hampton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700899150 | NPI | - | NPPES |
| 1659424448 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005083 (Virginia) | Primary |
| Entity Name | Rock Landing Psychological Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528159183 PECOS PAC ID: 1052209954 Enrollment ID: O20040310000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee K Johnson, LCSW 300 Medical Dr, 2nd Floor, Hampton, VA 23666-1765 Ph: (757) 788-0092 | Renee K Johnson, LCSW 400 Medical Dr, Suite A, Hampton, VA 23666-1767 Ph: (757) 788-0400 |
Ms. Charon Dubose, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2244 Executive Dr, Hampton, VA 23666 Phone: 757-827-1001 | |
Rebecca Myers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-4034 | |
Angela Mcdowell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Howmet Dr Ste 160, Hampton, VA 23661 Phone: 757-251-6376 | |
Ann Graham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2244 Executive Dr, Hampton, VA 23666 Phone: 757-827-1001 | |
Miss Tina Maria Crocco, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-922-9961 | |
Carin Danielle Hamilton, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2019 Cunningham Dr Ste 301, Hampton, VA 23666 Phone: 757-535-9080 | |
Robert Washington, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 |