ANDRA D. JOHNSON
ANDRA D. JOHNSON is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1336468271, based in Fort Wayne, IN. The organization lists 2 taxonomy classifications, with Clinical Social Worker recorded as primary.
Getting there
The practice address on file is 4656 W JEFFERSON BLVD SUITE 285, Fort Wayne, IN 46804. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 34005636A | IN | Clinical Social Worker primary |
| 991842 | OH | Addiction (Substance Use Disorder)… |
| I-0009358 | OH | Clinical Social Worker |
| 2972-123 | WI | Clinical Social Worker |
| 87000438A | IN | Addiction (Substance Use Disorder)… |
Licences are recorded in 3 states: IN, OH, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 3 states
This provider holds licences in 3 states: Indiana, Ohio and Wisconsin. The practice address on file is in Fort Wayne, IN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 34005636A
- Specialty
- Clinical Social Worker
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical covers
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NUCC Health Care Provider Taxonomy, code 1041C0700X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker Clinical | 34005636A | IN | primary |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 991842 | OH | |
| 1041C0700X | Clinical Social Worker Clinical | I-0009358 | OH | |
| 1041C0700X | Clinical Social Worker Clinical | 2972-123 | WI | |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 87000438A | IN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1336468271 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 18, 2010 |
| Last updated | Oct 17, 2011 |
| Status | Active |
| Practice address |
4656 W JEFFERSON BLVD SUITE 285 Fort Wayne, IN 46804 (260) 422-9372 Fax (260) 672-0859 |
| Mailing address |
11014 CONSTANTIA CV Roanoke, IN 46783 |
| Other identifiers |
39628200 (-31/078)
· Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 3 | 6 | 4 | 6 | 8 | 2 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 6 | 6 | 8 | 6 | 7 | 2 | 5 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.