Amanda Johnson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3863G Issued in AL

Practice address

701 Zellwood Cir
Talladega, AL 35160

Phone

(256) 368-3169

NPI assigned

Dec 12, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1922579234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ZELLWOOD CIR",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351607495",
            "telephone_number": "256-368-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ZELLWOOD CIR",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "35160",
            "telephone_number": "256-368-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-12",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3863G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF SOCIAL WORK",
            "identifier": "3863G",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chona C Huang, M.D.
• Billy J Humphrey
• Lisa Ingram, LPTA
• Eric Brady Isbell, PT, DPT
• Brooke R. Jacks
• Cynthia L Jones, MD
• Elizabeth Barker Jones
• Ashley Nicole Judkins, LPC, NCC
• Candance Eungenia Judkins
• Julie Moon Inc

• Clinical Social Worker in Talladega, AL
• Providers in Talladega, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.