Carol Johnson, BS, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19836 Issued in MN

Practice address

120 Labree Ave S
Thief River Falls, MN 56701-2819

Phone

(218) 683-4351

NPI assigned

Mar 12, 2015

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

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sanford Health Network NorthGroup PAC ID 8022206663, 114 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.22 of 100Reported as group

Quality

90.28

Promoting interoperability

100

Improvement activities

40

Cost

72.7

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Sanford Health Network North

  • Multi-Specialty Clinic/Center
  • Thief River Falls, MN
  • NPI 1386047355

  MN

  Medicare reassignment Care Compare group NPD
• Sanford Health of Northern Minnesota

  • Family Medicine Physician
  • Kelliher, MN
  • NPI 1770849697

  MN

  Medicare reassignment NPD
• Sanford Health Network North

  • Community/Retail Pharmacy
  • Thief River Falls, MN
  • NPI 1346423373
  Care Compare group NPD
• Sanford Health Network North

  • Critical Access Hospital
  • Thief River Falls, MN
  • NPI 1043218753
  Care Compare group
• Sanford Health Network North

  • Medicare Defined Swing Bed Hospital Unit
  • Wheaton, MN
  • NPI 1063706489
  Care Compare group
• Sanford Health Network North

  • Critical Access Hospital
  • Wheaton, MN
  • NPI 1154615573
  Care Compare group
• Sanford Health Network North

  • Critical Access Hospital
  • Thief River Falls, MN
  • NPI 1184781775
  Care Compare group
• Sanford Health Network North

  • Rural Health Clinic/Center
  • Wheaton, MN
  • NPI 1245524669
  Care Compare group
• Sanford Health Network North

  • Rural Health Clinic/Center
  • Halstad, MN
  • NPI 1407882780
  Care Compare group
• Sanford Health Network North

  • Psychiatric Hospital
  • Thief River Falls, MN
  • NPI 1790842466
  Care Compare group
• Sanford Health Network North

  • Eyewear Supplier
  • Thief River Falls, MN
  • NPI 1992081020
  Care Compare group
• Sanford Health Network North

  • Critical Access Hospital
  • Hillsboro, ND
  • NPI 1184725194
  Care Compare group

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1578956702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LABREE AVE S",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012819",
            "telephone_number": "218-683-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "credential": "BS, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "19836",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Jahn, NP
• Justine Janecek, CCC-SLP
• Jennifer a. Manning
• Jgsteinhauer PLLC
• Ann Johnson, LP
• Cole Daniel Johnson, DDS
• Jenae Mayre Johnson
• Liberty Johnson
• Nowell Johnson, FNP-C
• Rozlynn O'Lee Johnsrud

• All providers in Thief River Falls, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.
• 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.

Verify at the official NPI Registry.