Taylor Jo Johnson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27851 Issued in MN

Practice address

510 Sibley St
Mankato, MN 56001-2056

Phone

(507) 484-2400

NPI assigned

Oct 21, 2022

Last updated

Jun 5, 2024By the provider in NPPES

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 names 1

• Taylor Jo Steckelberg Former name

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leo a. Hoffmann Center, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Saint Peter, MN
  • NPI 1093876732
  NPD
• Leo a. Hoffmann Center, Inc.

  dba Hoffmann Counseling Services

  • Psychologist
  • Saint Peter, MN
  • NPI 1407376072
  NPD

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1487371332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 7TH ST SW",
            "city": "WELLS",
            "state": "MN",
            "postal_code": "560971202",
            "telephone_number": "507-525-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SIBLEY ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012056",
            "telephone_number": "507-484-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAYLOR",
        "middle_name": "JO",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "STECKELBERG",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Johnson
• Logan Darwood Johnson, APRN
• Madalyn Johnson, LICSW
• Paul L Johnson, M.D.
• Rachel Johnson
• Trisha Nicole Johnson, PHARMD
• Wade Johnson, DO
• Melinda Johnston
• Jessica Marie Jones, M.S., CCC-SLP
• Katelyn Jones, LADC

• Clinical Social Worker in Mankato, MN
• Providers in Mankato, 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 Jun 5, 2024; 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.