Individual provider · Type 1 NPI

Jan Marie Johnson, LICSW

Clinical Social Worker · Richfield, MN

NPI number 1144864596 Active

Practice location

6625 Lyndale Ave S Ste 500
Richfield, MN 55423-2691

Mailing address

6335 Sheridan Ave S
Richfield, MN 55423-1009

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4149 (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 1144864596

Jan Marie Johnson, LICSW's National Provider Identifier is 1144864596, issued on Oct 29, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richfield, MN. The record was last updated on Oct 29, 2019.