Provider Demographics
NPI:1053889709
Name:JOHNS, AMANDA (DSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:JOHNS
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S MAIN ST STE 213
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4873
Mailing Address - Country:US
Mailing Address - Phone:267-261-2228
Mailing Address - Fax:
Practice Address - Street 1:350 S MAIN ST STE 213
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4873
Practice Address - Country:US
Practice Address - Phone:267-261-2228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-10
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0202071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical