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

Tyler Johnson, LICSW

Individual provider Clinical Social Worker · NPI 1215752274

Tyler Johnson, LICSW is a Clinical Social Worker in Cass Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

16123 Grant Utley Ave NW
Cass Lake, MN 56633
Phone: (218) 335-3050
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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 31432 (MN)

Record details

NPI number1215752274
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 15, 2024
Last updated in NPPESNovember 15, 2024
Certification dateNovember 14, 2024
Mailing address34335 Muskrat Rd, Laporte, MN 56461-4517

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