What is Andra Johnson's NPI number?

Andra Johnson's National Provider Identifier (NPI) is 1093787426, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Andra Johnson's specialty?

Andra Johnson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Andra Johnson located?

Andra Johnson's practice location on file with NPPES is 4656 W Jefferson Blvd, Fort Wayne, IN 46804-6857.

What is Andra Johnson's phone number?

The practice phone number listed in the NPPES registry for Andra Johnson is (260) 422-9372.

Is Andra Johnson's NPI active?

Yes — Andra Johnson's NPI (1093787426) is active in the NPPES registry as of the last update on 2011-10-17.

IndividualActive

Andra Johnson, LISW, LCSW, LCAC

NPI 1093787426 · Clinical Social Worker · Fort Wayne, IN

Andra Johnson, LISW, LCSW, LCAC is a Clinical Social Worker provider in Fort Wayne, IN (NPI 1093787426).

Provider details

NPI number: 1093787426
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LISW, LCSW, LCAC
Sex: Female
Sole proprietor: Yes
License: 991842 (LICDC) (OH)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 34005636A (LCSW) (IN)
Behavioral Health & Social Service Providers
Addiction (Substance Use Disorder) Counselor101YA0400XLicense 991842 (LICDC) (OH)
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700XLicense I - 0009358 (LISW) (OH)
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700XLicense 2979-123 (LCSW) (WI)
Behavioral Health & Social Service Providers
Addiction (Substance Use Disorder) Counselor101YA0400XLicense 87000438A (LCAC) (IN)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4656 W Jefferson Blvd

Suite 285

Fort Wayne, IN 46804-6857

Phone: (260) 422-9372

Fax: (260) 672-0859

Street-level locationGet directions

Mailing address

11014 Constantia Cv

Roanoke, IN 46783-8910

Enumerated: 2006-02-01
Last updated: 2011-10-17

Frequently asked questions

What is Andra Johnson's NPI number?: Andra Johnson's National Provider Identifier (NPI) is 1093787426, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Andra Johnson's specialty?: Andra Johnson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
Where is Andra Johnson located?: Andra Johnson's practice location on file with NPPES is 4656 W Jefferson Blvd, Fort Wayne, IN 46804-6857.
What is Andra Johnson's phone number?: The practice phone number listed in the NPPES registry for Andra Johnson is (260) 422-9372.
Is Andra Johnson's NPI active?: Yes — Andra Johnson's NPI (1093787426) is active in the NPPES registry as of the last update on 2011-10-17.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.