TYLER JOHNSON LICSW
NPI 1215752274
Social Worker - Clinical in Cass Lake, MN

Active since November 15, 2024
16123 GRANT UTLEY AVE NW, CASS LAKE, MN 56633(218) 335-3050 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Johnson Licsw NPPES

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

TYLER JOHNSON LICSW (NPI 1215752274) is an individual clinical provider in Cass Lake, Minnesota, licensed in Minnesota (31432) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1215752274
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTYLER JOHNSONCredential: LICSW
Location Address16123 GRANT UTLEY AVE NWCass Lake, MN 56633
Mailing Address34335 Muskrat RdLaporte, MN 56461-4517
Sole ProprietorNo
Enumeration DateNovember 15, 2024
NPPES CertifiedNovember 14, 2024
NPI 1215752274 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 · 31432
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.
16123 GRANT UTLEY AVE NW, Cass Lake, MN 56633

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Federally Qualified Health Center (FQHC))
16123 GRANT UTLEY AVE NW
CASS LAKE, MN 56633
Social Worker (Clinical)
16123 GRANT UTLEY AVE NW
CASS LAKE, MN 56633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Johnson's NPI number?

The NPI number for Tyler Johnson is 1215752274. It was assigned to this individual provider in the NPPES registry on November 15, 2024.

Where is Tyler Johnson located?

Tyler Johnson practices at 16123 Grant Utley Ave NW, Cass Lake, MN 56633. The listed phone number is (218) 335-3050.

What is Tyler Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Tyler Johnson was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.