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

Grace Johnson, LICSW

Individual provider Clinical Social Worker · NPI 1275494932

Grace Johnson, LICSW is a Clinical Social Worker in Maple Grove, Minnesota. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2025
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

7767 Elm Creek Blvd N Ste 240
Maple Grove, MN 55369-7041
Phone: (651) 313-8080
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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 32337 (MN)

Record details

NPI number1275494932
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address7767 Elm Creek Blvd N Ste 240, Maple Grove, MN 55369-7041

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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