Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Lori Johnson, LCSW

Individual provider Clinical Social Worker · NPI 1265724009

Brooke Lori Johnson, LCSW is a Clinical Social Worker in Fairfax, Virginia. Qualified in 2006, 20 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
20
Licensed in
VA
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10615 Judicial Dr Ste 301
Fairfax, VA 22030-7501
Phone: (703) 424-0410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2900 Telestar Ct, Falls Church, VA 22042-1206 — (703) 538-2065

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904007293 (VA)

Record details

NPI number1265724009
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 12, 2011
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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