Carol Johnson, BS, LSW
Social Worker, Clinical in Thief River Falls, MN. Individual provider (NPI-1).
NPI number1578956702
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1578956702
- Entity type
- Individual (NPI-1)
- Name
- Carol Johnson
- Credential
- BS, LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2015
- Certification date
- Jan 2, 2024
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 19836 | MN | Yes |
| 101YM0800X | Counselor, Mental Health | 19836 | MN |
Practice location
120 Labree Ave SThief River Falls, MN 56701-2819
Phone 218-683-4351
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
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All 13 Clinical Social Worker providers in Thief River Falls · All 272 providers in Thief River Falls
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