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

Individual provider Clinical Social Worker · NPI 1982063657

Tiffany Irene Johnson, MSW, LICSW is a Clinical Social Worker in New Hope, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019
Phone: (763) 252-4502
Fax: (888) 965-5130
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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 21005 (MN)

Record details

NPI number1982063657
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

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