Jan Marie Johnson, LICSW | |
6625 Lyndale Ave S Ste 500, Richfield, MN 55423-2691 | |
(612) 886-3706 | |
Not Available |
Full Name | Jan Marie Johnson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 45 Years |
Location | 6625 Lyndale Ave S Ste 500, Richfield, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144864596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4149 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stepping Stone Clinic Llc | 1951675321 | 4 |
Entity Name | Stepping Stone Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720526759 PECOS PAC ID: 1951675321 Enrollment ID: O20170922003441 |
Mailing Address | Practice Location Address |
---|---|
Jan Marie Johnson, LICSW 6335 Sheridan Ave S, Richfield, MN 55423-1009 Ph: (612) 799-7247 | Jan Marie Johnson, LICSW 6625 Lyndale Ave S Ste 500, Richfield, MN 55423-2691 Ph: (612) 886-3706 |
Claire Niessen-derry, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 200, Richfield, MN 55423 Phone: 320-309-5910 | |
Alexandra Subbaraman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 440, Richfield, MN 55423 Phone: 612-712-7200 | |
Marnie K Carlson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-767-7907 | |
Leah Anne Kiefer, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6820 Garfield Ave, Richfield, MN 55423 Phone: 507-720-4696 | |
Kevin P Callaghan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 E 66th St, Richfield, MN 55423 Phone: 763-545-6558 | |
Jennifer Leigh Vlach, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6425 Nicollet Ave, Richfield, MN 55423 Phone: 612-861-1675 Fax: 612-861-3446 |