Amanda Marie Johnson, LCDCII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2506279 Issued in OH

Practice address

1725 E 3Rd St
Dayton, OH 45403-1850

Phone

(937) 387-6395

NPI assigned

May 7, 2018

Last updated

Mar 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Better Together Family Center

  • Social Worker
  • Xenia, OH
  • NPI 1073482089
  NPD Authorized official
• Clinic Security and Logistics, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1215428016
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1891284717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 LOWER BELLBROOK RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453859310",
            "telephone_number": "937-613-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454031850",
            "telephone_number": "937-387-6395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Germantown St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454173318",
            "country_code": "US",
            "telephone_number": "937-613-9537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LCDCII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCII.161326",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe M Johnson III
• Aaron Scott Johnson
• Abigail Johnson
• Alicia Johnson
• Allyson Johnson
• Amber D Johnson
• Ann Marie Johnson, STNA
• Ariel Estelle Johnson, CNM
• Arrell Johnson
• Ashley Johnson

• Clinical Social Worker in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.