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AMANDA JOHNSON
NPI 1639034515
Social Worker - Clinical in Gaithersburg, MD

Active since December 22, 2025PECOS Enrolled
610 E DIAMOND AVE STE 100, GAITHERSBURG, MD 20877(301) 840-2000 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Johnson NPPES

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

AMANDA JOHNSON (NPI 1639034515) is an individual clinical provider in Gaithersburg, Maryland, licensed in Maryland (28456) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639034515
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA JOHNSON
Location Address610 E DIAMOND AVE STE 100Gaithersburg, MD 20877-5321
Mailing AddressPo Box 791891Baltimore, MD 21279-1891
Phone(301) 840-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
✔ NPI 1639034515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 28456
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.
610 E DIAMOND AVE STE 100, Gaithersburg, MD 20877
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305323049
PECOS Enrollment IDI20260123000998, I20260325000787
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Amanda Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Services, Inc
Same address
Child & Adolescent Psychiatry
610 E DIAMOND AVE, SUITE 100
Gaithersburg, MD 20877
  • Reassigned Medicare billing, District of Columbia enrollment
  • 106 clinicians in this Medicare group
NPI 1780641928 (301) 840-2000
Way Station Inc
20 mi
Multi-Specialty
9030 STATE ROUTE 108 STE A
Columbia, MD 21045
  • Reassigned Medicare billing, Maryland enrollment
  • 132 clinicians in this Medicare group
NPI 1104914464 (410) 740-1901
Mosaic Community Services, Inc.
23 mi
Mental Health (Including Community Mental Health Center)
210 ABRECHT PL
Frederick, MD 21701
  • Reassigned Medicare billing, Maryland enrollment
  • 143 clinicians in this Medicare group
NPI 1073369591 (301) 663-8263

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CARMEN VANESSA ARDON LMSW
Social Worker
610 E DIAMOND AVE STE 100
GAITHERSBURG, MD 20877
Montgomery County (301) 840-3200
ERIN WADE MS, LPC, LCPC
Counselor (Mental Health)
610 E DIAMOND AVE STE 100
GAITHERSBURG, MD 20877
Montgomery County (301) 840-3200
MELISSA CARRERA
Social Worker
610 E DIAMOND AVE STE 100
GAITHERSBURG, MD 20877
Montgomery County (301) 840-2000
MS. SUSAN MORITA LMSW
Social Worker
610 E DIAMOND AVE STE 100
GAITHERSBURG, MD 20877
Montgomery County (240) 683-6580
STEPHANIE PRIGAL
Social Worker
610 E DIAMOND AVE STE 100
GAITHERSBURG, MD 20877
Montgomery County (301) 840-2000
CARINE TCHUENKAM NKEMANJONG
Nurse Practitioner (Psychiatric/Mental Health)
610 E DIAMOND AVE STE 100
GAITHERSBURG, MD 20877
Montgomery County (301) 840-3200
KATHERINE MOSS
Social Worker (Clinical)
610 E DIAMOND AVE STE 100
GAITHERSBURG, MD 20877
Montgomery County (301) 840-2000
IRENE GUADALUPE GOMEZ LGPC
Counselor (Professional)
610 E DIAMOND AVE STE 100
GAITHERSBURG, MD 20877
Montgomery County (202) 740-0524

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 Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1639034515. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Where is Amanda Johnson located?

Amanda Johnson practices at 610 E Diamond Ave Ste 100, Gaithersburg, MD 20877. The listed phone number is (301) 840-2000.

What is Amanda Johnson's specialty?

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

Is Amanda Johnson enrolled in Medicare?

Yes. Amanda Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Johnson reassigns Medicare benefits to 3 organizations: Family Services, Inc (Gaithersburg, MD), Way Station Inc (Columbia, MD) and Mosaic Community Services, Inc. (Frederick, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.