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

Individual provider Mental Health Counselor · NPI 1164092003

Coleen Elizabeth Johnson, MSW, LICSW, CMHS is a Mental Health Counselor in Mount Vernon, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021
Specialties on file
4
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

2203 Old Highway 99 S Rd
Mount Vernon, WA 98273-9009
Phone: (360) 542-8810
Fax: (360) 542-8811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LW61501471 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence SC61166287 (WA)
Social Worker Taxonomy 104100000X · Licence SC61166287 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SC61166287 (WA)

Record details

NPI number1164092003
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW , CMHS
Sole proprietorYes
NPI enumeratedJuly 1, 2021
Last updated in NPPESJuly 30, 2024
Certification dateJuly 15, 2024

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