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

Individual provider Clinical Social Worker · NPI 1679860357

Trevor B Johnson, MSW, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011
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

2419 Nicollet Ave
Minneapolis, MN 55404-3424
Phone: (612) 879-5320
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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 19378 (MN)

Record details

NPI number1679860357
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedJuly 1, 2011
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

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