Individual provider · Type 1 NPI

Roger Lee Johnson, MSW, LICSW

Clinical Social Worker · Grand Forks, ND

NPI number 1306880885 Active

Practice location

151 S 4th St, Suite 401
Grand Forks, ND 58201-4715

Fax (701) 795-3050

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X78 (ND)

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 1306880885

Roger Lee Johnson, MSW, LICSW's National Provider Identifier is 1306880885, issued on Jun 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Forks, ND. The record was last updated on Jul 13, 2026.