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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDRA D. JOHNSON

Active Organization

ANDRA D. JOHNSON is a Clinical Social Worker organization located in FORT WAYNE, Indiana. NPI 1336468271 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FORT WAYNE, IN

Registration Details

NPI Number
1336468271
Provider Type
Organization
NPI Issued
May 18, 2010 (16.217369026256 yrs)
Last Updated
Oct 17, 2011
Licenses
991842 (OH)
I-0009358 (OH)
2972-123 (WI)
87000438A (IN)
34005636A (IN)

Practice Information

Address
4656 W JEFFERSON BLVD
SUITE 285
FORT WAYNE, IN, 468046857
Browse 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

Other Clinical Social Worker Organizations in FORT WAYNE, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.