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

MS. Joanna Lynn Johnson, LICSW

Individual provider Clinical Social Worker · NPI 1255982211

MS. Joanna Lynn Johnson, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2012, 14 years ago. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2019
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

4826 Chicago Ave Ste 105
Minneapolis, MN 55417-1055
Phone: (612) 827-3028
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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 15968 (MN)

Record details

NPI number1255982211
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 21, 2019
Last updated in NPPESJuly 3, 2020
Certification dateJuly 3, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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