Individual provider Active NPI

Amy Melissa Johnson, LCSW

  • Social Worker
  • Conway, AR
National Provider Identifier
1508439472
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10134-C Issued in AR
Practice address
2215 E Oak St Ste 1
Conway, AR 72032-4644
Phone
(501) 336-0511
Fax
(501) 336-4037
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10134-C AR Primary

Addresses

Primary practice location

2215 E Oak St Ste 1
Conway, AR 72032-4644

Mailing address

2215 E Oak St Ste 1
Conway, AR 72032-4644
Phone (501) 358-0071

Other practice location 1

214 Highway 64 E
Conway, AR 72032-9410
Phone (501) 358-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10134-CARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Because You Matter Counseling PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1508439472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E OAK ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324644",
            "telephone_number": "501-358-0071",
            "fax_number": "501-336-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E OAK ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324644",
            "telephone_number": "501-336-0511",
            "fax_number": "501-336-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Highway 64 E",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720329410",
            "country_code": "US",
            "telephone_number": "501-358-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "10134-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.