Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Andra D. Johnson, LISW, LCSW, LCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093787426

Mrs. Andra D. Johnson, LISW, LCSW, LCAC is an Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana, Ohio and Wisconsin.

Licensed in
IN, OH, WI
In the registry since
2006
Specialties on file
5
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6857
Phone: (260) 422-9372
Fax: (260) 672-0859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34005636A (LCSW) (IN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 991842 (LICDC) (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence I - 0009358 (LISW) (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2979-123 (LCSW) (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 87000438A (LCAC) (IN)

Record details

NPI number1093787426
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW , LCSW , LCAC
Sole proprietorYes
NPI enumeratedFebruary 1, 2006
Last updated in NPPESOctober 17, 2011

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