Active NPI
Scott Kenneth Johnson, MSW, LICSW, LCSW
- Clinical Social Worker
- Ashland, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8473
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255698205 | Medicaid | WI | |
| 1255698205 | Medicaid | MN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Psychotherapy, LLC | Clinical | Current | Accepting new patients |
| Ripple Effect Counseling LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, WI
- NPI 1891580742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.