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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER JOHNSON, LICSW

Active

TYLER JOHNSON, LICSW is a Clinical Social Worker healthcare provider located in CASS LAKE, Minnesota. NPI 1215752274 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CASS LAKE, MN

Registration Details

NPI Number
1215752274
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2024 (1.7304271834244 yrs)
Last Updated
Nov 15, 2024
License
31432 (MN)

Practice Information

Address
16123 GRANT UTLEY AVE NW
CASS LAKE, MN, 56633
Browse MN providers · Browse ZIP 56633
Phone
2183353050
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CASS LAKE, MN

Name Credential NPI
EDWARD GEORGE FRANCKOWIAK MSW LICSW 1750606943
MS. JULIE LYNN PAULSON MSW, LICSW 1336452382
KATHLEEN WRIGHT LICSW 1346644986
AMY L LINDAHL LICSW 1861017956
MR. HENRY LOUIS BEAUDUY MSW, LICSW 1861094344
MRS. DAISY JANE MUNDT MSW, LICSW 1659952448
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.