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

Candace Rae Johnson, LICSW, LADC

Individual provider Clinical Social Worker · NPI 1912638552

Candace Rae Johnson, LICSW, LADC is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2021, 5 years ago. Practices with Emily Program P C, a 50-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2022
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

2230 Como Ave
Saint Paul, MN 55108-1720
Phone: (612) 730-9429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 30874 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 30874 (MN)

Record details

NPI number1912638552
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LADC
Sole proprietorNo
NPI enumeratedJune 23, 2022
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Emily Program P C — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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