Denise L Johnson
Individual provider Active NPI Case Manager/Care Coordinator · Fargo, ND
NPI 1497972301 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1497972301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2624 9TH Ave S
Fargo, ND 58103-2350 - Phone
- (701) 298-4500
- Fax
- (701) 298-4400
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2627 | ND | MD | Social Worker |
| 000079069 | ND | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2627 | ND | |
| Case Manager/Care Coordinator | 171M00000X | ND | Yes |
Addresses
Primary practice location
2624 9TH Ave S
Fargo, ND 58103-2350
Mailing address
2624 9TH Ave S
Fargo, ND 58103-2350
Phone (701) 298-4500
Other providers in Fargo, ND
- Colin James Johnson
- Craig D Johnson
- Cybil Johnson
- Cynthia Johnson
- Daniel David Johnson
- Donita Jane Johnson
- Edward R Johnson
- Eldon A. Johnson
- Elizabeth Johnson
- Ellen Johnson
All providers in Fargo, ND · Case Manager/Care Coordinator in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.