Individual provider · Type 1 NPI

Jean Nicole Johnson, LICSW

Clinical Social Worker · Worthington, MN

NPI number 1235019001 Active

Practice location

1210 5th Ave
Worthington, MN 56187-2432

Fax (507) 376-4494

Mailing address

PO Box 175
Worthington, MN 56187-0175

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31246 (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 1235019001

Jean Nicole Johnson, LICSW's National Provider Identifier is 1235019001, issued on Sep 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worthington, MN. The record was last updated on Sep 3, 2025.