Individual provider · Type 1 NPI

Jeremiah Johnson

Clinical Social Worker · Glendale, WI

NPI number 1669027066 Active

Practice location

5215 N Ironwood Rd Ste 202
Glendale, WI 53217-4908

Call (715) 903-6444 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9262-123 (WI)

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 1669027066

Jeremiah Johnson's National Provider Identifier is 1669027066, issued on Aug 3, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, WI. The record was last updated on Apr 20, 2026.