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

Individual provider Clinical Social Worker · NPI 1972679009

Sandra Johnson, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 1987, 39 years ago. Practices with Addictions and Stress Clinics Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
39
Licensed in
MN
In the registry since
2006
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

3100 W Lake St Ste 210
Minneapolis, MN 55416-4527
Phone: (612) 925-6033
Fax: (612) 925-8496
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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 6196 (MN)

Record details

NPI number1972679009
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Addictions And Stress Clinics Ltd — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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