Individual provider · Type 1 NPI

Ivy Johnson, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1376295436 Active

Practice location

408 Saint Peter St Ste 429
St. Paul, MN 55102-1119

Fax (651) 224-5754

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28148 (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 1376295436

Ivy Johnson, LICSW's National Provider Identifier is 1376295436, issued on Jan 20, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Jan 20, 2022.