NPI 1063870863
Elizabeth Anne Johnson, LICSW
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
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.