Karen E Deane Johnson, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

233 Issued in MN

Practice address

480 W 78TH St
Suite 101a
Chanhassen, MN 55317-4527

Phone

(952) 212-0518

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

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

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.

Opted out of Medicare

Previously, effective Aug 10, 2010 through Aug 10, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1992806442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CARVER SQ",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879686",
            "telephone_number": "952-442-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W 78TH ST",
            "address_2": "SUITE 101A",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174527",
            "telephone_number": "952-212-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANE JOHNSON",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cam-Tu Nguyen Dalluge, D.D.S.
• Kylee Dalsin, CNP
• Kyra Ariel Daugherty, DC
• Mark W Davies, D.D.S
• Mia Ann Dawson, DPT
• Dentalign, P.a
• Dentistry of the Ponds P.L.L.C.
• Brittaney Caroline Devane, NP
• Stephanie Dawn Deyoung
• Noah Diehm, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.