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

Patrick Doyle Johnson, LGSW

Individual provider Registered Dietitian · NPI 1720700784

Patrick Doyle Johnson, LGSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2912 N 2nd St
Minneapolis, MN 55411-1606
Phone: (952) 258-3989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 31334 (MN)
Registered Dietitian Taxonomy 133V00000X · Licence 4046 (MN)

Record details

NPI number1720700784
Entity typeIndividual (Type 1)
GenderMale
Credentials LGSW
Sole proprietorNo
NPI enumeratedSeptember 16, 2022
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address2912 N 2nd St, Minneapolis, MN 55411-1606

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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