Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jody Reis-Johnson, MDIV, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1740375740

Jody Reis-Johnson, MDIV, MSW, LICSW is a Clinical Social Worker in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

3450 Oleary Ln
Eagan, MN 55123-2340
Phone: (651) 454-0114
Fax: (651) 454-3492
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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 06627 (MN)

Record details

NPI number1740375740
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDIV , MSW , LICSW
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2007

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