# JOE T. JOHNSON, LCSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770903379
- **Authorized official:** JOE THOMAS JOHNSON LCSW (SOLE PROPRIETOR)
- **Authorized official phone:** (540) 809-1589

## Contact information

- **Practice address:** 404 CHATHAM SQ PARK, SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544
- **Practice address phone:** (540) 373-1200
- **Practice address fax:** (540) 373-1283
- **Mailing address:** 10323 EDINBURGH DR, SPOTSYLVANIA, VA 22553-1733
- **Mailing address phone:** (540) 809-1589
- **Mailing address fax:** (540) 741-3918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904003387 | VA | Yes |

## Other

- **Enumeration date:** 04/22/2014
- **Last updated:** 04/22/2014