Active NPI
Amanda A Johnson, LCSW
- Clinical Social Worker
- Gladstone, MO
National Provider Identifier
1801191911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2010030181
- Practice address
- 101 NW Englewood Rd
Suite 180
Gladstone, MO 64118-4054 - Phone
- (816) 876-9352
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2010030181 | MO | Primary |
Addresses
Primary practice location
101 NW Englewood Rd
Suite 180
Gladstone, MO 64118-4054
Mailing address
10221 N Cherry Dr
Apt 10B
Kansas City, MO 64155-2085
Phone (816) 506-9522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2010030181 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1801191911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10221 N CHERRY DR",
"address_2": "APT 10B",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552085",
"telephone_number": "816-506-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW ENGLEWOOD RD",
"address_2": "SUITE 180",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641184054",
"telephone_number": "816-876-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMANDA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2010030181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gladstone, MO
- James S Waddell DC PC (North Oak Chiropractic)
- Tayler James, PT, DPT
- Jayhawk Primary Care Inc (Creekwood Family Care)
- Jayhawk Primary Care Inc (Creekwood Urgent Care)
- Jessica Lane Re, LLC (The Recovery Village Kansas City)
- Colynn Jo Jones
- Katherine Mary Jones, M.A.
- Jordan Perriman DDS LLC
- Karr Chiropractic LLC (Natural Bodyworks)
- Jared P Karr, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.