Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Johnson

Individual provider Clinical Social Worker · NPI 1639034515

Amanda Johnson is a Clinical Social Worker in Gaithersburg, Maryland. Qualified in 2021, 5 years ago. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2025

Practice location Address checks out

610 E Diamond Ave Ste 100
Gaithersburg, MD 20877-5321
Phone: (301) 840-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 28456 (MD)

Record details

NPI number1639034515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing addressPo Box 791891, Baltimore, MD 21279-1891

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Gaithersburg