Johnson, Amanda A

Johnson, Amanda A is an sole proprietor health care provider with primary practice located at 101 Nw Englewood Rd Suite 180, Gladstone MO 64118-4054. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Amanda A can be contacted via phone (816) 876-9352.

Contact Information

Primary practice address
101 Nw Englewood Rd Suite 180 Gladstone MO 64118-4054
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2010030181 Missouri

Profile Details

NPI number 1801191911
LBN Legal business name Johnson, Amanda A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2011
Last updated Jan 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers