Andrea Katherine Johnson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113588 Issued in MA

Practice address

297 Allen St
New Bedford, MA 02740-3328

Phone

(774) 628-9656

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1093858664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 ALLEN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403328",
            "telephone_number": "774-628-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 ALLEN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403328",
            "telephone_number": "774-628-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Ann Jernigan, DPT
• Madeleine Alice Jesus
• Joanne Dakin LLC
• Lori Karina Johannessen, ATC, LAT
• John J. Colletti, D.C.P.C.
• Cara Lynne Johnson, LICSW
• Darius Johnson
• Iretioluwa Johnson
• Jeffrey Johnson, MA
• Stephanie Page Johnson

• Clinical Social Worker in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.