ELIZABETH ANNE JOHNSON LICSW
NPI 1063870863
Social Worker - Clinical in Coon Rapids, MN

Q: What is Elizabeth Johnson's NPI number?

The NPI number for Elizabeth Johnson is 1063870863. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Q: What is Elizabeth Johnson'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 Elizabeth Johnson was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 February 08, 2016PECOS EnrolledAccepts Medicare Assignment

9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 780-9155(763) 236-1066 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2024, Feb 8, 2016 (2 updates tracked since 2016).

On this page

About Elizabeth Anne Johnson Licsw NPPES

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

ELIZABETH ANNE JOHNSON LICSW (NPI 1063870863) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (21380) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1063870863

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELIZABETH ANNE JOHNSONCredential: LICSW

Location Address9055 SPRINGBROOK DR NWCoon Rapids, MN 55433-5841

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(763) 780-9155

Fax(763) 236-1066

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011

Enumeration DateFebruary 8, 2016

Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1063870863 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 · 21380

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.

9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433

Open in Google Maps ↗

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

Elizabeth Anne Johnson 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 ID1052617479

PECOS Enrollment IDI20160311000207

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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 20

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

BLYTHE ELLEN NELSON LICSW

Social Worker (Clinical)