Whalio Doctors

NPI 1063870863

Elizabeth Anne Johnson, LICSW

Practitioner Clinical Social Worker Coon Rapids, MN

Practice location

Address
9055 Springbrook Dr NW, Coon Rapids, MN 55433-5841
Phone
(763) 780-9155
Fax
(763) 236-1066
Mailing address
2925 Chicago Ave, Minneapolis, MN 55407-1321

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 21380 (MN)

Registry record

NPI
1063870863
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Feb 2016
Record last updated
3 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.