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

Jay Johnson, LICSW

Individual provider Clinical Social Worker · NPI 1134249220

Jay Johnson, LICSW is a Clinical Social Worker in Sentinel Butte, North Dakota. Licensed in North Dakota. Registered with an NPI since 2007.

Licensed in
ND
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

16351 I94 Home On The Range
Sentinel Butte, ND 58654-9500
Phone: (701) 872-3745
Fax: (701) 872-3748
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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 4012 (ND)

Record details

NPI number1134249220
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESJuly 8, 2007
Mailing address16351 I94, Home On The Range, Sentinel Butte, ND 58654-9500

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