IndividualActive
Amanda Johnson, LMSW
NPI 1013400688 · Mental Health Counselor · Clive, IA
Provider details
- NPI number
- 1013400688
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
12247 Stratford Dr
Clive, IA 50325-8147
Phone: (803) 636-7506
Approximate (ZIP-level) locationGet directions
Mailing address
5604 Orchard Dr
West Des Moines, IA 50266-7692
Additional practice locations (1)
- 2625 Wheaton WayBremerton, WA 98310-3371Phone: (360) 377-6136
Registry dates
- Enumerated
- 2018-06-08
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.