Tricia Johnson, LICSW
NPI 1700375623 · Clinical Social Worker · Saint Peter, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1700375623
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 22335 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Mailing address
Additional practice locations (3)
- 510 Sibley StMankato, MN 56001-2056Phone: (507) 484-2400Fax: (507) 354-2444
- 1407 S State StNew Ulm, MN 56073-3715Phone: (507) 934-2400Fax: (507) 354-2444
- 505 State St SWaseca, MN 56093-3032Phone: (507) 484-2400Fax: (507) 354-2444
Registry dates
- Enumerated
- 2018-05-07
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.