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Tyler Johnson, LICSW
NPI 1215752274 · Clinical Social Worker · Cass Lake, MN
Tyler Johnson, LICSW is a Clinical Social Worker provider in Cass Lake, MN (NPI 1215752274).
Provider details
- NPI number
- 1215752274
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 31432 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16123 Grant Utley Ave Nw
Cass Lake, MN 56633
Phone: (218) 335-3050
Approximate (ZIP-level) locationGet directions
Mailing address
34335 Muskrat Rd
Laporte, MN 56461-4517
Registry dates
- Enumerated
- 2024-11-15
- Last updated
- 2024-11-15
- Certified
- 2024-11-14
Frequently asked questions
- What is Tyler Johnson's NPI number?
- Tyler Johnson's National Provider Identifier (NPI) is 1215752274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Johnson's specialty?
- Tyler Johnson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tyler Johnson located?
- Tyler Johnson's practice location on file with NPPES is 16123 Grant Utley Ave Nw, Cass Lake, MN 56633.
- What is Tyler Johnson's phone number?
- The practice phone number listed in the NPPES registry for Tyler Johnson is (218) 335-3050.
- Is Tyler Johnson's NPI active?
- Yes — Tyler Johnson's NPI (1215752274) is active in the NPPES registry as of the last update on 2024-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.