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

Lacie Leeann Johnson, LICSW

Individual provider Social Worker · NPI 1578893517

Lacie Leeann Johnson, LICSW is a Social Worker in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
Specialties on file
2
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

1811 Weir Dr
Woodbury, MN 55125-2272
Phone: (651) 714-9646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 17988 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 17988 (MN)

Record details

NPI number1578893517
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 13, 2010
Last updated in NPPESFebruary 6, 2018

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