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

Tim Johnson, MSW, LICSWLMFT

Individual provider Clinical Social Worker · NPI 1154310126

Tim Johnson, MSW, LICSWLMFT is a Clinical Social Worker in Lake Elmo, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone: (651) 379-0444
Fax: (651) 379-0448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 157 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 409 (MN)

Record details

NPI number1154310126
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSWLMFT
Sole proprietorNo
NPI enumeratedOctober 20, 2005
Last updated in NPPESDecember 23, 2011
Mailing address8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628

Other providers in Lake Elmo