Individual provider · Type 1 NPI

Taylor Paige Johnson, LICSW

Clinical Social Worker · Moorhead, MN

NPI number 1114889458 Active

Practice location

819 30th Ave S Ste 102
Moorhead, MN 56560-5000

Fax (218) 284-1080

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X32051 (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 1114889458

Taylor Paige Johnson, LICSW's National Provider Identifier is 1114889458, issued on Nov 25, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moorhead, MN. The record was last updated on Dec 19, 2025.