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Mrs. Andra D. Johnson, LISW,LCSW,LCAC
Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana
NPI 1093787426

Andra D. Johnson is an Addiction (Substance Use Disorder) Counselor based in Roanoke, IN and is specialized in Addiction (Substance Use Disorder). Andra D. Johnson practices in Fort Wayne, IN and has the professional credentials of LISW,LCSW,LCAC. The NPI Number for Andra D. Johnson is 1093787426 and holds a License No. 991842 (LICDC) (Indiana).

The current practice location address for Andra D. Johnson is 4656 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-422-9372 and via fax at 260-672-0859.

Location: 4656 W Jefferson Blvd, Fort Wayne, IN, 46783-8910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093787426
Provider Name
Andra D. Johnson
Credential
LISW,LCSW,LCAC
Provider Entity Type
Individual
Gender
Female
Address
4656 W Jefferson Blvd, Fort Wayne, IN, 46783-8910
Phone Number
260-422-9372
Fax Number
260-672-0859
Provider Enumeration Date
02/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39628200 -31/078 05 WI
institution
Provider Business Practice Location Address Details
Address
4656 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-6857
Phone Number
260-422-9372
Fax Number
260-672-0859
person
Provider Business Mailing Address Details
Address
4656 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-6857
Phone Number
260-422-9372
Fax Number
260-672-0859
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
I - 0009358 (LISW) (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
991842 (LICDC) (Ohio)
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.
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