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

Individual provider Clinical Social Worker · NPI 1912556952

Beth Laurie Johnson, MSW, LICSW is a Clinical Social Worker in Coon Rapids, Minnesota. Qualified in 2013, 13 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

11850 Blackfoot St NW Ste 130
Coon Rapids, MN 55433-2583
Phone: (763) 236-6061
Fax: (763) 236-6065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 480 Osborne Rd Ne Ste 200, Fridley, MN 55432-2866 — (763) 236-6061

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19834 (MN)

Record details

NPI number1912556952
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedSeptember 11, 2019
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Coon Rapids