LACIE LEEANN JOHNSON (NPI# 1578893517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578893517 |
| Entity Type | Individual |
| Full Name | LACIE LEEANN JOHNSON |
| Credential | LICSW |
| Practice Address |
1811 Weir Dr Woodbury MN 55125-2272 |
| Mailing Address |
1811 Weir Dr Ste 270 Woodbury MN 55125-6741 |
| Practice Telephone | 6517149646 |
| Mailing Telephone | 6513791718 |
| Mailing Fax Number | 6517149647 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 17988 | MN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
17988 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1811 WEIR DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073593620 | Joel Augustine Schirvar | Clinical Neuropsychologist | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2006-01-19 |
| 1649878398 | Janet Smallidge | Counselor | 1811 Weir Dr, Woodbury, MN 55125-2272 | 2020-10-14 |
| 1275001372 | Victoria Lynn Reeck | Counselor | 1811 Weir Dr, Woodbury, MN 55125-2272 | 2018-11-06 |
| 1407396567 | Donald Handlang | Counselor | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2017-03-07 |
| 1215476593 | Holly M Pickard | Counselor | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2017-02-19 |
| 1720533342 | Emunah Arak Rankin | Nurse Practitioner | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-08-24 |
| 1235682683 | Linda Gail Olson | Counselor | 1811 Weir Dr, Woodbury, MN 55125-2272 | 2016-08-02 |
| 1003268293 | Stephanie Odegard | Counselor | 1811 Weir Dr, Sutie 270, Woodbury, MN 55125-2272 | 2016-07-12 |
| 1881046282 | Lynn Renee Carlson | Social Worker | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-07-08 |
| 1467809624 | Benjamin Dieffenbach | Social Worker | 1811 Weir Dr, Suite 270, Woodbury, MN 55125-2272 | 2016-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912422916 | Alena Barbara Hecksher-lewis | Social Worker | 509 N. Broad Street, Woodbury, NJ 08096 | 2017-08-10 |
| 1831469949 | Shannon Marie Alther | Social Worker | 660 Main St S Ste 5, Woodbury, CT 06798 | 2012-01-05 |
| 1104193416 | Cassandra Dutrieuille | Social Worker | 6043 Hudson Rd Ste 305, Woodbury, MN 55125-1035 | 2011-11-30 |
| 1770873390 | Elizabeth K Sunshine | Social Worker | 7600 Jericho Tpke, Suite Ll3, Woodbury, NY 11797-1728 | 2011-04-15 |
| 1629399100 | Jack Bernard Lewis Jr. | Social Worker | 102 Landing Dr, Woodbury, NJ 08096-6845 | 2010-06-18 |
| 1760513790 | Andrea Heezen Vasquez | Social Worker | 7616 Currell Blvd Ste 100, Woodbury, MN 55125-2295 | 2007-03-09 |
| 1255462321 | Jeremy J. Gatto | Social Worker | 1811 Weir Drive Suite 355, Woodbury, MN 55125-2273 | 2007-03-08 |
| 1689208613 | Shanique Martin | Social Worker | 58 Euclid St, Woodbury, NJ 08096-4626 | 2020-02-28 |
| 1861040529 | Myrto Saget | Social Worker | 58 Euclid St, Woodbury, NJ 08096-4626 | 2019-08-27 |
| 1821643008 | Joseph Sumowo Roberts | Social Worker | 6043 Hudson Rd Ste 355, Woodbury, MN 55125-1017 | 2019-08-05 |
| Find all providers in WOODBURY | ||||
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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.