ANNA MARIE JOHANSON LICSW
NPI 1023767753
Social Worker - Clinical in Mankato, MN

Q: What is Anna Johanson's NPI number?

The NPI number for Anna Johanson is 1023767753. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Anna Johanson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Anna Johanson was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment

1400 MADISON AVE STE 352, MANKATO, MN 56001(507) 387-3195 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Anna Marie Johanson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA MARIE JOHANSON LICSW (NPI 1023767753) is an individual clinical provider in Mankato, Minnesota, licensed in Minnesota (15788) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1023767753

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANNA MARIE JOHANSONCredential: LICSW

Location Address1400 MADISON AVE STE 352Mankato, MN 56001-4458

Mailing Address1400 Madison Ave Ste 352Mankato, MN 56001-4458 · (507) 389-8502 · Fax (507) 625-3928

Phone(507) 387-3195

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 21, 2022

NPPES CertifiedMarch 17, 2022

✔ NPI 1023767753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 15788

Definition

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.

1400 MADISON AVE STE 352, Mankato, MN 56001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anna Marie Johanson Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769879758

PECOS Enrollment IDI20220421000577

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSY KAY BURTON

Nurse Practitioner (Psychiatric/Mental Health)