Individual provider · Type 1 NPI

Jody Reis-Johnson, M.DIV., MSW, LICSW

Clinical Social Worker · Eagan, MN

NPI number 1740375740 Active

Practice location

3450 Oleary Ln
Eagan, MN 55123-2340

Call (651) 454-0114 Map

Fax (651) 454-3492

Mailing address

441 Juniper Ct
Mahtomedi, MN 55115-1558

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X06627 (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 1740375740

Jody Reis-Johnson, M.DIV., MSW, LICSW's National Provider Identifier is 1740375740, issued on Oct 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Jul 8, 2007.