Individual provider · Type 1 NPI

Kathryn Marie Johncox, LICSW

Clinical Social Worker · Apple Valley, MN

NPI number 1982376612 Active

Practice location

14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509

Call (651) 456-8494 Map

Mailing address

5001 17th Ave S
Minneapolis, MN 55417-1211

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Clinical Social Worker 1041C0700X28604 (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 1982376612

Kathryn Marie Johncox, LICSW's National Provider Identifier is 1982376612, issued on Sep 30, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Apple Valley, MN. The record was last updated on Apr 22, 2026.