Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anna Shkolnik Johnson, LICSW

Individual provider Clinical Social Worker · NPI 1063841385

Anna Shkolnik Johnson, LICSW is a Clinical Social Worker in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

12915 63rd Ave N
Maple Grove, MN 55369-6001
Phone: (952) 826-8404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21122 (MN)

Record details

NPI number1063841385
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 6, 2013
Last updated in NPPESNovember 6, 2013
Mailing address12915 63rd Ave N, Maple Grove, MN 55369-6001

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