FOUR RIVERS & ASSOCIATES LLC
NPI 1336468271
Social Worker - Clinical in Fort Wayne, IN

Active since May 18, 2010
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: July 26, 2026.

About Four Rivers & Associates Llc NPPES

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

FOUR RIVERS & ASSOCIATES LLC (NPI 1336468271) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since May 2010. The organization lists Andra D Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1336468271
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameANDRA D. JOHNSON
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
Organization SubpartNo
Authorized OfficialAndra D JohnsonOwner · (216) 798-1997
Enumeration DateMay 18, 2010
Last NPPES UpdateOctober 17, 2011
NPI 1336468271 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 Licensed in OH · I-0009358 Licensed in WI · 2972-123
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 991842 (OH), 87000438A (IN)
4656 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Names 1

Doing Business AsFour Rivers & Associates Llc

Other Identifiers 1

Medicaid39628200 (-31/078)WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

Internal Medicine (Cardiovascular Disease)
4656 W JEFFERSON BLVD, SUITE 125
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Counselor (Professional)
4656 W JEFFERSON BLVD, 285
FORT WAYNE, IN 46804
Clinic/Center (Adolescent and Children Mental Health)
4656 W JEFFERSON BLVD, STE. 135
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804

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 D. Johnson's NPI number?

The NPI number for Andra D. Johnson is 1336468271. It was assigned to this organization in the NPPES registry on May 18, 2010. The provider is doing business as Four Rivers & Associates LLC.

Where is Andra D. Johnson located?

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

What is Andra D. 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 D. Johnson was last updated on October 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.