AMY B JOHNSON (NPI# 1841766904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841766904 |
| Entity Type | Individual |
| Full Name | AMY B JOHNSON |
| Credential | MSW, LICSW |
| Practice Address |
6552 Carriage Way Corcoran MN 55340-4443 |
| Practice Telephone | 6513635265 |
| Mailing Telephone | 6513635265 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11438 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164043808 | Amy Jeannine Johnson | Student in an Organized Health Care Education/Training Program | 136 Heritage Dr, Yankton, SD 57078-6714 | 2020-05-05 |
| 1114557550 | Amy L Johnson | Nurse Practitioner | 145 Indian Hills Dr, Greeneville, TN 37745-6316 | 2020-01-24 |
| 1861966277 | Amy Elizabeth Johnson | Nurse Practitioner | 21309 Foster Rd Ste 100, Spring, TX 77388-4209 | 2019-01-18 |
| 1407338700 | Amy Johnson | Social Worker | 115 A St, Framingham, MA 01701-4175 | 2018-09-04 |
| 1386151918 | Amy E Johnson | Social Worker | 412 Roanoke St, Avenel, NJ 07001-1317 | 2018-01-04 |
| 1952829277 | Amy Johnson | Social Worker | 9711 Lawndale Dr, Silver Spring, MD 20901-3025 | 2017-09-07 |
| 1427505064 | Amy Helen Johnson | Counselor | 1200 N Main St # 101, Santa Ana, CA 92701-3640 | 2016-09-01 |
| 1114371069 | Amy Johnson | Home Health Aide | 731 Camden Ave Sw, Canton, OH 44706-1241 | 2016-04-18 |
| 1265842710 | Amy Johnson | Speech-Language Pathologist | 2407 Ridge Rd, Pendleton, KY 40055-9623 | 2014-05-06 |
| 1114347242 | Amy Johnson | Developmental Therapist | 1987 Pieck Dr, Unit B, Covington, KY 41011-2692 | 2014-04-16 |
| Street Address |
6552 CARRIAGE WAY |
| City | CORCORAN |
| State | MN |
| Zip Code | 55340-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851777239 | Shelly Jean Blanchard | Marriage & Family Therapist | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093840431 | Richard Leif Johnson | Chiropractor | 20010 75th Avenue North, Corcoran, MN 55340 | 2007-02-23 |
| 1285786293 | Hassan Ismail | Dentist | 1090 Shingle Creek Crossing, Aspen Dental, Brooklyn Center, MN 55340 | 2007-01-18 |
| 1396850558 | Fortin Health & Wellness Clinic, Pa | Chiropractor | 149 Hamel Road, Hamel, MN 55340 | 2006-08-20 |
| 1154943199 | Augustana Senior Development II | Assisted Living Facility | 4350 Chippewa Ct, Medina, MN 55340-4013 | 2020-05-13 |
| 1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
| 1841641933 | Kari Anna Hultgren | Physician Assistant | 170 Prairie Creek Rd, Medina, MN 55340-4505 | 2016-06-29 |
| 1922526334 | All Smiles Dental Pa | Dentist | 212 Clydesdale Trl, Medina, MN 55340-4513 | 2017-09-06 |
| 1093768475 | Jeffrey A Ristau | Pharmacist | 300 Clydesdale Trl, T-2223, Medina, MN 55340-4538 | 2006-05-18 |
| 1649616103 | Daniel Peter Drontle | Pharmacist | 300 Clydesdale Trl, Medina, MN 55340-4538 | 2013-05-10 |
| 1427390525 | Saundra Hartmann | Pharmacist | 300 Clydesdale Trl, Medina, MN 55340-4538 | 2013-03-27 |
| Find all providers in zip 55340 | ||||
| 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 |
|---|---|---|---|---|
| 1265684054 | Tisa Rae Garrison | Social Worker | 1425 1/2 Letts Ave, Corcoran, CA 93212-2717 | 2008-10-13 |
| 1407460454 | Tiffany Jean Sparks-mendoza | Social Worker | 4001 King Ave., Corcoran, CA 93212 | 2020-09-06 |
| 1841808490 | Siria Gomez-castillo | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2020-07-20 |
| 1902451636 | Jessica Marquez | Social Worker | 4001 King Ave, Corcoran, CA 93212-9611 | 2019-08-08 |
| 1730679457 | Cindi Dardin-box | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2018-05-17 |
| 1760979348 | Cecilia Gomez Corwin | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2018-04-18 |
| 1427411628 | Jessica Hurns | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2016-04-04 |
| 1144681404 | Meagan Boersma | Social Worker | 4001 King Ave, Corcoran, CA 93212-9611 | 2016-03-15 |
| 1407265184 | Anthony Valdez Casillas | Social Worker | 4001 King Ave, Corcoran, CA 93212-9611 | 2014-08-07 |
| 1477973998 | Michael Polder | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2014-04-23 |
| Find all providers in CORCORAN | ||||
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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.