IndividualActive
Adrienne Johnson, LICSW
NPI 1912307257 · Clinical Social Worker · Eagan, MN
Provider details
- NPI number
- 1912307257
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 21216 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3450 Oleary Ln
Eagan, MN 55123-2340
Phone: (651) 454-0114
Fax: (651) 454-3492
Approximate (ZIP-level) locationGet directions
Mailing address
3450 Oleary Ln
Eagan, MN 55123-2340
Registry dates
- Enumerated
- 2014-08-22
- Last updated
- 2014-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.