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

Samuel Johnson

Individual provider Clinical Social Worker · NPI 1013434299

Samuel Johnson is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2017, 9 years ago. Practices with Stone Arch Psychology and Health Services, a 7-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

219 SE Main St Ste 400
Minneapolis, MN 55414-2151
Phone: (612) 886-2524
Fax: (612) 886-2538
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 29698 (MN)

Record details

NPI number1013434299
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2017
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stone Arch Psychology And Health Services — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Minneapolis