IndividualActive
Andrew Johnson, BA BS MSW LICSW LADC
NPI 1023600772 · Clinical Social Worker · Maplewood, MN
Provider details
- NPI number
- 1023600772
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- BA BS MSW LICSW LADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 304558 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
981 Glendon St N
Maplewood, MN 55119-3811
Phone: (612) 354-9027
Approximate (ZIP-level) locationGet directions
Mailing address
981 Glendon St N
Maplewood, MN 55119-3811
Registry dates
- Enumerated
- 2021-02-04
- Last updated
- 2021-02-04
- Certified
- 2021-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.