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

Mrs. Irene Teresa Johnson, MSW, LCSW, LICSW

Individual provider Clinical Social Worker · NPI 1295733319

Mrs. Irene Teresa Johnson, MSW, LCSW, LICSW is a Clinical Social Worker in Fargo, North Dakota. Qualified in 2000, 26 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wyoming.

Years since qualifying
26
Licensed in
MN, WY
In the registry since
2005
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
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

2102 Elm Street N Fargo VA Hcs
Fargo, ND 58102
Phone: (701) 239-3700
Fax: (307) 745-8761
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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 27855 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-374 (WY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 374 (WY)

Record details

NPI number1295733319
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , LICSW
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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