Jennifer Eileen Johnson, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31892 Issued in MN

Practice address

3221 32ND Ave S Ste 700
Grand Forks, ND 58201-6075

Phone

(701) 335-4380

NPI assigned

Jan 31, 2025

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jan 31, 2025.

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1760295752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 9TH ST NW",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565421019",
            "telephone_number": "218-308-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 32ND AVE S STE 700",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016075",
            "telephone_number": "701-335-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "EILEEN",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Johnson, MS-CCC- SP
• Donna Jean Johnson, LSW
• Elizabeth Johnson, CMHT
• Emily Johnson, LCSW
• Eric L Johnson, MD
• Joel L Johnson, MD
• Joshua Johnson
• Katrina Johnson
• Kristen Aili Johnson, PMHNP-BC, FNP-C
• Kristine Beth Johnson, RN

• All providers in Grand Forks, ND
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.