Individual provider · Type 1 NPI
Irene Teresa Johnson, MSW, LCSW, LICSW
Clinical Social Worker · Fargo, ND
Practice location
2102 Elm Street N Fargo Va Hcs
Fargo, ND 58102
Fax (307) 745-8761
Mailing address
2101 Elm Street N Fargo Va Hcs
Fargo, ND 58102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-374 (WY) |
| Clinical Social Worker | 1041C0700X | 374 (WY) |
| Clinical Social Worker Primary | 1041C0700X | 27855 (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 1295733319
Irene Teresa Johnson, MSW, LCSW, LICSW's National Provider Identifier is 1295733319, issued on Jul 12, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fargo, ND. The record was last updated on Apr 10, 2025.