Katherine Johnson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20684 Issued in MN

Practice address

130 Wabasha St S
Suite 90
Saint Paul, MN 55107-1819

Phone

(651) 925-5531

Fax

(651) 450-2221

NPI assigned

Oct 14, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mental Health Systems PC

  • Psychologist
  • Edina, MN
  • NPI 1497835656
  Medicare reassignment NPD
• Guild

  • Case Management Agency
  • Saint Paul, MN
  • NPI 1659534725
  NPD (past)
• Guild

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1861514945
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1033513536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 MARYLAND AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263205",
            "telephone_number": "651-925-5531",
            "fax_number": "651-450-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WABASHA ST S",
            "address_2": "SUITE 90",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071819",
            "telephone_number": "651-925-5531",
            "fax_number": "651-450-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "M520025000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce C. Johnson, PT
• Judith A Johnson, NP
• Julia Czajkowski Johnson, MD
• Julia Eve Johnson
• Karen Elizabeth Johnson, PT
• Katherine Johnson, MD
• Kathleen Johnson, MA
• Kathryn Joanna Johnson
• Kevin Johnson
• Kristen Sue Johnson, RN, LMFT

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.