Molly Patricia Johnson, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28358 Issued in MN

Practice address

1031 Grace St
Saint Peter, MN 56082-1300

Phone

(507) 364-5312

Fax

(507) 364-5908

NPI assigned

Jan 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Inspire Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montgomery, MN
  • NPI 1134691975

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1346713377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32298 STATE HIGHWAY 13",
            "city": "MONTGOMERY",
            "state": "MN",
            "postal_code": "560694348",
            "telephone_number": "507-364-5312",
            "fax_number": "507-364-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 GRACE ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821300",
            "telephone_number": "507-364-5312",
            "fax_number": "507-364-5908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32298 State Highway 13",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "MN",
            "postal_code": "560694348",
            "country_code": "US",
            "telephone_number": "507-364-5312 x414",
            "fax_number": "507-364-5908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MOLLY",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303474",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jaspers, CNP
• Danelle M Jenkins, MA, LPCC
• Allison Jensen, LPCC
• Peter Burnett Johansen, M.D.
• Nicole Jackie Johnson-Chavez
• Tricia May Johnson, LICSW
• Molly Rae Jones, MS,LICSW
• Elisha Kampfe, PSY.D.
• Megan Kauffmann, LICSW
• Rachel L Kawiecki

• Clinical Social Worker in Saint Peter, MN
• Providers in Saint Peter, 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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.