Vicki Anderson Johnson (NPI# 1730157207, PAC ID# 1850694050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1730157207 |
| PAC ID by PECOS | 1850694050 |
| Professional Enrollment ID | I20160121002058 |
| Full Name | Vicki Anderson Johnson |
| Organization Legal Name | PSYCHOGERIATRIC SERVICES LLC |
| Address |
8575 Rixlew Ln Manassas VA 20109-3701 |
| Phone Number | 7032579770 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6002719226 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8575 Rixlew Ln, Manassas, VA 20109-3701 | 7032579770 | PSYCHOGERIATRIC SERVICES LLC |
| 12073 -b Tech Rd, Silver Spring, MD 20904-7873 | 3015931315 | PSYCHOGERIATRIC SERVICES LLC |
| Organization Legal Name | PSYCHOGERIATRIC SERVICES LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruthann Mcfadden | Clinical Social Worker | Psychogeriatric Services LLC | 531 Stevenson Ln, Towson, MD 21286-7607 |
| Jacqueline D Wichern | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Malika I Moore | Clinical Social Worker | Psychogeriatric Services LLC | 12073 -b Tech Rd, Silver Spring, MD 20904-7873 |
| Karen Cichon | Psychologist, Clinical | Psychogeriatric Services LLC | 8575 Rixlew Ln, Manassas, VA 20109-3701 |
| Joann K Thacker | Psychologist, Clinical | Psychogeriatric Services LLC | 11215 Oak Leaf Dr, Suite 109, Silver Spring, MD 20901-1300 |
| Katherine B Hughes | Nurse Practitioner | Psychogeriatric Services LLC | 12073 -b Tech Rd, Silver Spring, MD 20904-7873 |
| Enyonam J Jordan Brangman | Nurse Practitioner | Psychogeriatric Services LLC | 8575 Rixlew Ln, Manassas, VA 20109-3701 |
| Deepan Chatterjee | Psychologist, Clinical | Psychogeriatric Services LLC | 12073 -b Tech Rd, Silver Spring, MD 20904-7873 |
| Ernestine M Enohmbi | Nurse Practitioner | Psychogeriatric Services LLC | 12073 -b Tech Rd, Silver Spring, MD 20904-7873 |
| Martina Pavlicek | Psychologist, Clinical | Psychogeriatric Services LLC | 8575 Rixlew Ln, Manassas, VA 20109-3701 |
| Street Address |
8575 RIXLEW LN |
| City | MANASSAS |
| State | VA |
| Zip | 20109-3701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Cichon | Psychologist, Clinical | Psychogeriatric Services LLC | 8575 Rixlew Ln, Manassas, VA 20109-3701 |
| Enyonam J Jordan Brangman | Nurse Practitioner | Psychogeriatric Services LLC | 8575 Rixlew Ln, Manassas, VA 20109-3701 |
| Martina Pavlicek | Psychologist, Clinical | Psychogeriatric Services LLC | 8575 Rixlew Ln, Manassas, VA 20109-3701 |
| Donna J. Vannata | Psychologist, Clinical | Psychogeriatric Services LLC | 8575 Rixlew Ln, Manassas, VA 20109-3701 |
| Tahimina Popal | Nurse Practitioner | Psychogeriatric Services LLC | 8575 Rixlew Ln, Manassas, VA 20109-3701 |
| Nina Mccormack | Clinical Social Worker | Psychogeriatric Services LLC | 8575 Rixlew Ln, Manassas, VA 20109-3701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nanette Mary Blinkovitch Hoback | Clinical Social Worker | 7502 Diplomat Dr, Suite 101, Manassas, VA 20109-2508 | |
| James G Binning | Chiropractic | 7513 Presidential Ln, Manassas, VA 20109-2628 | |
| Elisabeth Kim | Physical Therapy | Professional Sportscare and Rehab LLC | 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842 |
| Lyusyena Teper | Physical Therapy | Professional Sportscare and Rehab LLC | 11662 Sudley Manor Dr, Manassas, VA 20109-2842 |
| Lucie Horn | Physical Therapy | Professional Sportscare and Rehab LLC | 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842 |
| Jennifer Igbokwe | Physical Therapy | Professional Sportscare and Rehab LLC | 11662 Sudley Manor Dr, 50b, Manassas, VA 20109-2842 |
| Appaji Gondi | Allergy/immunology | Yuill Black Md and Michael R Kletz Md PC | 7818 Donegan Dr, Manassas, VA 20109-2869 |
| Michael R Kletz | Allergy/immunology | Yuill Black Md and Michael R Kletz Md PC | 7818 Donegan Dr, Manassas, VA 20109-2869 |
| Evelyn M Hatfield | Clinical Social Worker | Prince William County | 7969 Ashton Ave, Manassas, VA 20109-2885 |
| Laurence Shindelman | Psychiatry | Prince William County | 7969 Ashton Ave, Manassas, VA 20109-2885 |
| Find all physicians in zip 20109 | |||
| City | MANASSAS |
| Zip Code | 20109 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MANASSAS + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.