Paul Johnson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

24901 Issued in MN

Practice address

9001 E Bloomington Fwy
Bloomington, MN 55420-3435

Phone

(952) 777-4996

NPI assigned

Apr 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1609221381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 E BLOOMINGTON FWY",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203435",
            "telephone_number": "763-522-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 E BLOOMINGTON FWY",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203435",
            "telephone_number": "952-777-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 Olson Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554225323",
            "country_code": "US",
            "telephone_number": "763-522-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "24901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Johnson
• Kenneth James Johnson, R.PH.
• Kiara Shante' Johnson I
• Lily Rose Johnson
• Marie Elizabeth Johnson
• Ronald E Johnson, MSW, LICSW
• Stacy Jean Johnson
• Tori Elisabeth Johnson
• Valerie Johnson
• Valerie Alice Johnson, N.C.T.M.B

• Social Worker in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.