Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ANDRA D. JOHNSON, LISW, LCSW, LCAC
Active Sole ProprietorMRS. ANDRA D. JOHNSON, LISW, LCSW, LCAC is a Clinical Social Worker healthcare provider located in FORT WAYNE, Indiana. NPI 1093787426 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FORT WAYNE, IN
Registration Details
- NPI Number
- 1093787426
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2006 (20.344394537139 yrs)
- Last Updated
- Oct 17, 2011
- Licenses
-
991842 (LICDC) (OH)I - 0009358 (LISW) (OH)2979-123 (LCSW) (WI)34005636A (LCSW) (IN)87000438A (LCAC) (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4656 W JEFFERSON BLVDSUITE 285FORT WAYNE, IN, 468046857Browse IN providers · Browse ZIP 46804
- Phone
- 2604229372
- Fax
- 2606720859
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Clinical Social Worker Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| MS. LORRAINE MEJER | MSN | 1588667026 |
| MR. DANIEL S BISHTON | MSW | 1497758932 |
| SIMON JAMES DUNN | LCSW | 1962408831 |
| MS. CHRISTINE ANN MOTHERWELL | MSW, LMHC, LCSW | 1730188798 |
| SCOTT JOSEPH MCALISTER | MSW, LCSW | 1770583718 |
| MS. JEANNE HARBER PORTER | LCSW, ACSW | 1811982184 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.