Jami Johnson, LICSW

Individual provider Active NPI Clinical Social Worker · Pine City, MN

NPI 1962338020 · NPPES record last updated Jun 18, 2026

Key facts

NPI
1962338020
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
31532 (MN)
Practice address
220 Railroad St SE
Pine City, MN 55063-1540
Phone
(320) 629-7600
Fax
(651) 925-0071
NPI assigned
Jun 18, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 31532 MN Yes

Addresses

Primary practice location

220 Railroad St SE
Pine City, MN 55063-1540

Mailing address

220 Railroad St SE
Pine City, MN 55063-1540
Phone (320) 629-7600

Other providers in Pine City, MN

All providers in Pine City, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.