MRS. ANDRA D. JOHNSON LISW, LCSW, LCAC
NPI 1093787426
Social Worker - Clinical in Fort Wayne, IN

Q: What is Andra Johnson's NPI number?

The NPI number for Andra Johnson is 1093787426. It was assigned to this individual provider in the NPPES registry on February 1, 2006. The provider is also known as Mrs. Andra D Rivers-Jones M.S.S.A..

Q: What is Andra Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Andra Johnson was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2006

4656 W JEFFERSON BLVD, SUITE 285, FORT WAYNE, IN 46804(260) 422-9372(260) 672-0859 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Andra D. Johnson Lisw, Lcsw, Lcac NPPES

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

MRS. ANDRA D. JOHNSON LISW, LCSW, LCAC (NPI 1093787426) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34005636A (LCSW)) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1093787426

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. ANDRA D. JOHNSONCredential: LISW, LCSW, LCAC

Location Address4656 W JEFFERSON BLVD, SUITE 285Fort Wayne, IN 46804-6857

Mailing Address11014 Constantia CvRoanoke, IN 46783-8910 · (216) 798-1997 · Fax (260) 672-0859

Phone(260) 422-9372

Fax(260) 672-0859

Sole ProprietorYes

Enumeration DateFebruary 1, 2006

Last NPPES UpdateOctober 17, 2011

✔ NPI 1093787426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in IN · 34005636A (LCSW)✔ Licensed in OH · I - 0009358 (LISW)✔ Licensed in WI · 2979-123 (LCSW)

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 87000438A (LCAC) (IN), 991842 (LICDC) (OH)

4656 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Other Names 1

Former Name (1)Mrs. Andra D Rivers-jones M.s.s.a.

Other Identifiers 1

Medicaid39628200 -31/078WI

Other Providers at the Same Location NPPES 20

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

SUMMIT MEDICAL ASSOCIATES LLC

Internal Medicine (Cardiovascular Disease)

4656 W JEFFERSON BLVD, SUITE 125
FORT WAYNE, IN 46804

Allen County (260) 434-1177

MRS. JAN C BOGGS LCSW

Social Worker (Clinical)

4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804

Allen County (260) 422-9372

SUSAN TIELKER-SHARPE COUNSELING, LLC

Social Worker (Clinical)

4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804

Allen County (260) 422-9372

GERARD ASSOCIATES INC

Social Worker (Clinical)

4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804

Allen County (260) 422-9372

ANDRA D. JOHNSON

Social Worker (Clinical)

4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804

Allen County (260) 422-9372

ROBIN ATKINS LMHC, M.A.

Counselor (Professional)

4656 W JEFFERSON BLVD, 285
FORT WAYNE, IN 46804

Allen County (260) 918-4686

FAMILY AND CHILDREN BEHAVIORAL HEALTH PC

Clinic/Center (Adolescent and Children Mental Health)

4656 W JEFFERSON BLVD, STE. 135
FORT WAYNE, IN 46804

Allen County (260) 436-0959

COSLOW & ASSOCIATES LTD

Social Worker (Clinical)

4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804

Allen County (260) 422-9372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andra Johnson's NPI number?

The NPI number for Andra Johnson is 1093787426. It was assigned to this individual provider in the NPPES registry on February 1, 2006. The provider is also known as Mrs. Andra D Rivers-Jones M.S.S.A..

Where is Andra Johnson located?

Andra Johnson practices at 4656 W Jefferson Blvd Suite 285, Fort Wayne, IN 46804. The listed phone number is (260) 422-9372.

What is Andra Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Andra Johnson was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.