SCOTT KENNETH JOHNSON (NPI# 1255698205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255698205 |
| Entity Type | Individual |
| Full Name | SCOTT KENNETH JOHNSON |
| Credential | M.S.W., L.I.C.S.W. |
| Practice Address |
1401 E 1st St Duluth MN 55805-2407 |
| Practice Telephone | 2187284491 |
| Practice Fax Number | 2187284404 |
| Mailing Telephone | 2187284491 |
| Mailing Fax Number | 2187284404 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2014-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
21082 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1255698205 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861954497 | Scott Johnson | Durable Medical Equipment & Medical Supplies | 1014 Everest Blvd, Wausau, WI 54403-5057 | 2019-04-02 |
| 1033630033 | Scott Charles Johnson | Counselor | 40853 Cecina Way, Bermuda Dunes, CA 92203-1171 | 2017-06-29 |
| 1487106753 | Scott Johnson | Counselor | 104 Usher St, Bennettsville, SC 29512-2710 | 2016-11-02 |
| 1861840738 | Scott Johnson | Contractor | 6139 S Garrison St, Littleton, CO 80123-3437 | 2016-06-01 |
| 1861893984 | Scott Andrew Johnson | Social Worker | 1250 William Floyd Pkwy, Shirley, NY 11967-1809 | 2014-09-08 |
| 1376825356 | Scott Andrew Johnson | Physical Therapist | 51600 Huntington Rd Ste B, La Pine, OR 97739-8887 | 2011-09-15 |
| 1801125075 | Scott Rene Johnson | Pharmacist | 6803 Pinehearth Ct, Spring, TX 77379 | 2009-12-16 |
| 1437367919 | Scott Alan Johnson | Physical Therapist | 91 Goldengate Drive, Centerville, OH 45459 | 2007-05-18 |
| 1063629293 | Scott Marvin Johnson | Pharmacist | 15100 N 90th St, Scottsdale, AZ 85260-2769 | 2007-05-17 |
| 1275740458 | Scott Johnson | Marriage & Family Therapist | 920 Nellies Cave Rd, Blacksburg, VA 24060-6029 | 2007-05-17 |
| Street Address |
1401 E 1ST ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194790733 | Human Development Center | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2006-02-17 |
| 1245755107 | Phoenix Lyn Black Walker | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2017-08-11 |
| 1861945743 | Brent Hanson | Registered Nurse | 1401 E 1st St, Duluth, MN 55805-2407 | 2016-07-27 |
| 1700239571 | Deborah Hernandez | Community Health Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2016-07-18 |
| 1801246061 | Rachel Leigh Phillips | Counselor | 1401 E 1st St, Duluth, MN 55805 | 2016-06-20 |
| 1902261654 | Molly Smith | Social Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2015-12-23 |
| 1255716817 | Allison Hill | Nurse Practitioner | 1401 E 1st St, Duluth, MN 55805-2407 | 2015-07-24 |
| 1821339177 | Angela Tonee Marino | Social Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2013-03-12 |
| 1205195294 | Timothy R Walters | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2012-05-10 |
| 1003182643 | Jill Lockwood | Registered Nurse | 1401 E 1st St, Duluth, MN 55805-2407 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366611 | Harvest Moon Mental Health Services, LLC | Social Worker | 1509 E Superior St Apt 203, Duluth, MN 55812-4402 | 2020-08-11 |
| 1235756784 | Allissa Rardin | Social Worker | 720 N Central Ave, Duluth, MN 55807-1305 | 2020-07-01 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1205348372 | Viloria C Jackson | Social Worker | 3611 Gray Pl, Duluth, GA 30096-3298 | 2017-10-30 |
| 1992225668 | Splady Therapy Services, LLC | Social Worker | 205 W 2nd St Ste 421, Duluth, MN 55802-1920 | 2017-06-23 |
| 1568999308 | Jim Gaylord | Social Worker | 6208 E Superior St, Duluth, MN 55804-2542 | 2017-05-11 |
| 1962860940 | Devon Maycock | Social Worker | 1027 N 8th Ave E, Duluth, MN 55805-1427 | 2016-02-04 |
| 1457718744 | Matheny Therapy & Consulting, LLC | Social Worker | 5241 N Shore Dr, Duluth, MN 55804-2911 | 2016-01-18 |
| 1689044620 | Mari Trine | Social Worker | 2421 London Rd, Duluth, MN 55812-2222 | 2015-10-02 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.