Individual ProviderTonya JohnsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address610 Thimble Shoals Blvd # 403, Newport News, VA 23606-2573(757) 291-3339PECOS EnrollmentBased on the most recent information from CMS, provider Tonya Johnson is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1750710232Provider TypeIndividualFull NameJohnson, TonyaTitleMs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date11/5/2013Last Updated11/2/2018Contact InformationPractice LocationPractice Address610 Thimble Shoals Blvd # 403, Newport News, VA 23606-2573Phone(757) 291-3339Fax(757) 291-3339Mailing LocationMailing Address610 Thimble Shoals Blvd # 403, Newport News, VA 23606-2573Phone(757) 291-3339FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904008625VirginiaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer