Individual provider Active NPI

Tricia May Johnson, LICSW

  • Clinical Social Worker
  • Saint Peter, MN
National Provider Identifier
1700375623
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22335 Issued in MN
Practice address
1715 Sheppard Dr
Saint Peter, MN 56082-2539
Phone
(507) 934-7788
Fax
(507) 934-2594
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22335 MN Primary

Addresses

Primary practice location

1715 Sheppard Dr
Saint Peter, MN 56082-2539

Mailing address

PO Box 60
Saint Peter, MN 56082-0060
Phone (507) 934-7788

Other practice location 1

505 State St S
Waseca, MN 56093-3032
Phone (507) 484-2400

Other practice location 2

1407 S State St
New Ulm, MN 56073-3715
Phone (507) 934-2400

Other practice location 3

510 Sibley St
Mankato, MN 56001-2056
Phone (507) 484-2400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200115002511 MN Practitioner - Clinical Social Worker 2961731112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Leo a Hoffmann Center IncGroup PAC ID 6709117500, 2 clinicians

Practice addresses (Care Compare)

1407 S State St
New Ulm, MN 56073-3715
Phone (507) 484-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leo a. Hoffmann Center, Inc. CurrentSince Nov 23, 2019 Accepting new patients
Leo a. Hoffmann Center, Inc. PastSince Jun 1, 2024 Accepting new patients

Locations

510 Sibley St
Mankato, MN 56001
Phone (507) 484-2400

1407 S State St
New Ulm, MN 56073
Phone (507) 354-3181

1715 Sheppard Dr
Saint Peter, MN 56082
Phone (507) 484-2400

108 S Minnesota Ave
Ste 102
Saint Peter, MN 56082
Phone (507) 484-2400

505 State St S
Waseca, MN 56093
Phone (507) 484-2400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1700375623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560820060",
            "telephone_number": "507-934-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SHEPPARD DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560822539",
            "telephone_number": "507-934-7788",
            "fax_number": "507-934-2594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 State St S",
            "address_purpose": "LOCATION",
            "city": "Waseca",
            "state": "MN",
            "postal_code": "560933032",
            "country_code": "US",
            "telephone_number": "507-484-2400",
            "fax_number": "507-354-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 S State St",
            "address_purpose": "LOCATION",
            "city": "New Ulm",
            "state": "MN",
            "postal_code": "560733715",
            "country_code": "US",
            "telephone_number": "507-934-2400",
            "fax_number": "507-354-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Sibley St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560012056",
            "country_code": "US",
            "telephone_number": "507-484-2400",
            "fax_number": "507-354-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRICIA",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

Verify at the official NPI Registry.