Individual provider Active NPI

Scott Kenneth Johnson, MSW, LICSW, LCSW

  • Clinical Social Worker
  • Ashland, WI
National Provider Identifier
1255698205
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8473 Issued in WI
Practice address
308 9TH Ave W Ste 1
Ashland, WI 54806-1321
Phone
(715) 575-4322
Fax
(855) 702-1966
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8473 WI Primary
Clinical Social Worker 1041C0700X 21082 MN

Addresses

Primary practice location

308 9TH Ave W Ste 1
Ashland, WI 54806-1321

Mailing address

PO Box 631
Ashland, WI 54806-0631
Phone (715) 575-4322

Other practice location 1

101 Main St W Ste 205
Ashland, WI 54806-1668
Phone (715) 575-4322

Other identifiers 2

IdentifierTypeStateIssuer
1255698205MedicaidWI
1255698205MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20220321002325 WI Practitioner - Clinical Social Worker 9931338613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Main St W
Suite 205
Ashland, WI 54806-1668
Phone (715) 575-4322

308 9TH Ave W
Suite 1
Ashland, WI 54806-1321
Phone (715) 575-4322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Psychotherapy, LLC Clinical CurrentSince Sep 27, 2023 Accepting new patients
Ripple Effect Counseling LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

502 Main St W
Ste 303
Ashland, WI 54806
Phone (715) 575-4322

308 9th Ave W
Ste 1
Ashland, WI 54806
Phone (715) 575-4322

101 Main St W
Ste 205
Ashland, WI 54806
Phone (715) 204-9357

1411 Ellis Ave
Rm 135
Ashland, WI 54806
Phone (715) 575-4322

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1255698205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548060631",
            "telephone_number": "715-575-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 9TH AVE W STE 1",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061321",
            "telephone_number": "715-575-4322",
            "fax_number": "855-702-1966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Main St W Ste 205",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548061668",
            "country_code": "US",
            "telephone_number": "715-575-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "middle_name": "KENNETH",
        "credential": "MSW, LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8473",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255698205",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255698205",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

Verify at the official NPI Registry.