Individual provider · Type 1 NPI

Amanda Johnson

Clinical Social Worker · Gaithersburg, MD

NPI number 1639034515 Active

Practice location

610 E Diamond Ave Ste 100
Gaithersburg, MD 20877-5321

Mailing address

PO Box 791891
Baltimore, MD 21279-1891

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28456 (MD)

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 1639034515

Amanda Johnson's National Provider Identifier is 1639034515, issued on Dec 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gaithersburg, MD. The record was last updated on Dec 22, 2025.