Provider Demographics
NPI:1639449879
Name:JOHNSON, FRANCES P (CP,CSAC,LSW)
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:P
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:CP,CSAC,LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12315 POND RUN DR
Mailing Address - Street 2:#204
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-7067
Mailing Address - Country:US
Mailing Address - Phone:703-568-7095
Mailing Address - Fax:703-590-4878
Practice Address - Street 1:12315 POND RUN DR
Practice Address - Street 2:#204
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-7067
Practice Address - Country:US
Practice Address - Phone:703-568-7095
Practice Address - Fax:703-590-4878
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0903001259104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker