Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. GWYNN JOHNSON POLIDORO LCSW
NPI 1528027075
Social Worker - Clinical in Radford, VA

Active since March 22, 2006
200 8TH ST, RADFORD, VA 24141(540) 731-0838(540) 731-3375 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Gwynn Johnson Polidoro Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GWYNN JOHNSON POLIDORO LCSW (NPI 1528027075) is an individual clinical provider in Radford, Virginia, licensed in Virginia (0904001071) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1528027075
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. GWYNN JOHNSON POLIDOROCredential: LCSW
Location Address200 8TH STRadford, VA 24141-2426
Mailing Address200 8th StRadford, VA 24141-2426 · (540) 731-0838 · Fax (540) 731-3375
Fax(540) 731-3375
Sole ProprietorNo
Enumeration DateMarch 22, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1528027075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904001071
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

200 8TH ST, Radford, VA 24141

Other Identifiers 1

Medicaid8906203VA

Accepted Insurance

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
463 services29 patients

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
200 8TH ST
RADFORD, VA 24141
Pediatrics
200 8TH ST
RADFORD, VA 24141
Social Worker (Clinical)
200 8TH ST
RADFORD, VA 24141
Pediatrics
200 8TH ST
RADFORD, VA 24141
Pediatrics
200 8TH ST
RADFORD, VA 24141
Pediatrics
200 8TH ST
RADFORD, VA 24141
Pediatrics
200 8TH ST
RADFORD, VA 24141
Pediatrics
200 8TH ST
RADFORD, VA 24141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528027075, enumerated as an "individual" on March 22, 2006.

The provider is located at 200 8TH ST RADFORD, VA 24141 and the phone number is (540) 731-0838.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.