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

Ida Johnson, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1942090550

Ida Johnson, MSW, LICSW is a Clinical Social Worker in Bemidji, Minnesota. Qualified in 2022, 4 years ago. Practices with Sanford Health of Northern Minnesota, a 349-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2025
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

1233 34th St NW
Bemidji, MN 56601-5112
Phone: (218) 333-4715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1611 Anne St Nw, Bemidji, MN 56601-5114 — (218) 333-4715

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 25050 (MN)

Record details

NPI number1942090550
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMay 7, 2025
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sanford Health Of Northern Minnesota — 349 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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