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

Ashley Johnson, LICSW

Individual provider Clinical Social Worker · NPI 1831832021

Ashley Johnson, LICSW is a Clinical Social Worker in Otsego, Minnesota. Qualified in 2018, 8 years ago. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2022
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

9245 Quantrelle Ave NE
Otsego, MN 55330-0168
Phone: (763) 354-0932
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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 27536 (MN)

Record details

NPI number1831832021
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022
Mailing address5639 Loon Dr, Big Lake, MN 55309-8984

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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