Andrea Marie Johnson, LLBSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802089189 Issued in MI

Practice address

44899 Centre CT
Clinton TWP, MI 48038-5510

Phone

(586) 792-1654

NPI assigned

Aug 10, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1992284921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44899 CENTRE CT",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385510",
            "telephone_number": "586-460-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44899 CENTRE CT",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385510",
            "telephone_number": "586-792-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "LLBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802089189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M. Lewiston
• Kristina Renee Jennings, PA-C
• Tamika Jennings
• Kimberly Ann Jeroue, OTR/L
• John a. Dobry DDS LLC
• Douglas Edward Johnson, P.T.
• James Edward Johnson, D.O.
• Suzanne Johnson, LMSW
• William H Johnson, CRNA
• Daren M Jones, MA LPC

• Clinical Social Worker in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.