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

Individual provider Clinical Social Worker · NPI 1174400188

Johannah Mariah Freund, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
5
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

345 Smith Ave N
Saint Paul, MN 55102-2346
Phone: (651) 220-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 — (952) 993-3123

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 30138 (MN)

Record details

NPI number1174400188
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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