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

Individual provider Clinical Social Worker · NPI 1063160620

Shane Johnson is a Clinical Social Worker in Staunton, Virginia. Qualified in 2012, 14 years ago. Practices with Valley Community Services Board, a 23-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2022
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Practice location Address checks out

85 Sangers Ln
Staunton, VA 24401-6712
Phone: (540) 213-7566
Fax: (540) 887-3245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904013744 (VA)

Record details

NPI number1063160620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address85 Sangers Ln, Staunton, VA 24401-6712

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Valley Community Services Board — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Staunton