ANDREA MOORE JOHNSON (NPI# 1548233240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548233240 |
| Entity Type | Individual |
| Full Name | ANDREA MOORE JOHNSON |
| Practice Address |
43 Garrison Rd Brookline MA 02445-4445 |
| Practice Telephone | 6172778107 |
| Mailing Telephone | 6172778107 |
| Enumeration Date | 2006-02-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
103118 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS/BLUESHIELD | P10297 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827991 | Andrea Marita Johnson | Counselor | 639 N Shea Rd, Scottsburg, IN 47170-8132 | 2020-09-24 |
| 1912461955 | Andrea Johnson | Registered Nurse | 764 Bayard Ave, Saint Paul, MN 55102-4102 | 2019-01-23 |
| 1104398015 | Andrea M Johnson | Massage Therapist | 27 Sandy Creek Rd, Bridgton, ME 04009-4134 | 2018-12-18 |
| 1881165868 | Andrea N Johnson | Behavior Technician | 1001 Buccaneer Dr Apt 1, Schaumburg, IL 60173-5213 | 2018-12-17 |
| 1962902957 | Andrea G Johnson | Occupational Therapy Assistant | 7919 N 9th St, Tacoma, WA 98406-1095 | 2018-02-15 |
| 1851891139 | Andrea Maya Johnson | Midwife | 13236 111th Ct Ne, Kirkland, WA 98034-5306 | 2018-02-13 |
| 1386158301 | Andrea Collier Johnson | Pharmacist | 5772 Jillian Way, Grand Prairie, TX 75052-0418 | 2017-11-29 |
| 1114478831 | Andrea Johnson | Specialist/Technologist | 500 South Navajo Dr, Page, AZ 86040 | 2016-10-18 |
| 1861866147 | Andrea Johnson | Licensed Practical Nurse | 21203 N Hart Pl, Detroit, MI 48220-2108 | 2015-11-24 |
| 1932581915 | Andrea Johnson | Behavioral Analyst | 3781 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2015-06-25 |
| Street Address |
43 GARRISON RD |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093787947 | Karin Ballay | Social Worker | 43 Garrison Rd, Brookline, MA 02445-4445 | 2006-02-05 |
| 1982221552 | Julliet Upadhyay | Social Worker | 43 Garrison Rd, Brookline, MA 02445-4445 | 2020-06-30 |
| 1144879727 | Lauren Irene Grenier | Student in an Organized Health Care Education/Training Program | 43 Garrison Rd, Brookline, MA 02445-4445 | 2019-09-06 |
| 1376028704 | Mara J Richman | Counselor | 43 Garrison Rd, Brookline, MA 02445-4445 | 2018-10-02 |
| 1306327689 | Nina E Campanile | Student in an Organized Health Care Education/Training Program | 43 Garrison Rd, Brookline, MA 02445-4445 | 2018-08-24 |
| 1114445830 | Stephen Robert Grigelevich | Social Worker | 43 Garrison Rd, Brookline, MA 02445-4445 | 2017-09-01 |
| 1114397320 | Leslie Talmadge | Student in an Organized Health Care Education/Training Program | 43 Garrison Rd, Brookline, MA 02445-4445 | 2015-09-30 |
| 1023407079 | Nava Mermelstein | Social Worker | 43 Garrison Rd, Brookline, MA 02445-4445 | 2015-01-14 |
| 1821490491 | Samantha Fils | Counselor | 43 Garrison Rd, Brookline, MA 02445-4445 | 2014-09-25 |
| 1477954295 | Brookline Community Mental Health Center Inc | Community/Behavioral Health | 43 Garrison Rd, Brookline, MA 02445-4445 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609926 | Tracy Wallach | Social Worker | 96 Browne St Apt 1, Brookline, MA 02446-7257 | 2020-08-12 |
| 1639780158 | Lisa Solomon | Social Worker | 45 Kendall St, Brookline, MA 02445-7549 | 2020-08-10 |
| 1720633506 | Run Feng | Social Worker | 1131 Beacon St Ste 1-c, Brookline, MA 02446-5531 | 2019-08-07 |
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1417415365 | Janice Holton | Social Worker | 63 Powell St, Brookline, MA 02446-3928 | 2019-03-11 |
| 1801350475 | Anna Katia Zbikowski | Social Worker | 1470 Beacon St Apt 2, Brookline, MA 02446-2613 | 2019-01-28 |
| 1346718822 | Lauren Hunter | Social Worker | 1330 Beacon St Ste 202, Brookline, MA 02446-3202 | 2018-11-02 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1194200790 | Shira Davis | Social Worker | 82 Atherton Rd, Brookline, MA 02446-2769 | 2018-09-28 |
| Find all providers in BROOKLINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.