Individual provider · Type 1 NPI

Terrell Gayperail Johnson, LICSW

Clinical Social Worker · Brooklyn Park, MN

NPI number 1073382750 Active

Practice location

8525 Edinbrook Xing Ste 211
Brooklyn Park, MN 55443-2060

Mailing address

PO Box 32227
Minneapolis, MN 55432-0227

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28040 (MN)

Clinical Social Worker: 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 interpers…

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About NPI 1073382750

Terrell Gayperail Johnson, LICSW's National Provider Identifier is 1073382750, issued on Dec 22, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn Park, MN. The record was last updated on Jun 22, 2026.