Organization · Type 2 NPI

Andra D. Johnson

Clinical Social Worker · Fort Wayne, IN

NPI number 1336468271 Active

Practice location

4656 W Jefferson Blvd, Suite 285
Fort Wayne, IN 46804-6857

Call (260) 422-9372 Map

Fax (260) 672-0859

Mailing address

11014 Constantia Cv
Roanoke, IN 46783-8910

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X991842 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X87000438A (IN)
Clinical Social Worker Primary 1041C0700X34005636A (IN)
Clinical Social Worker 1041C0700XI-0009358 (OH)
Clinical Social Worker 1041C0700X2972-123 (WI)

Clinical Social Worker: 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 interpers…

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About NPI 1336468271

Andra D. Johnson's National Provider Identifier is 1336468271, issued on May 18, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 17, 2011.