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: July 19, 2026.

  • Individual
  • Male
  • Social Worker
  • Clinical

About TYLER JOHNSON

This page provides the complete NPI Profile along with additional information for Tyler Johnson, a provider established in Cass Lake, Minnesota with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1215752274 assigned on November 2024. The practitioner's primary taxonomy code is 1041C0700X with license number 31432 (MN). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1215752274 Verify this NPI
Provider Name
TYLER JOHNSON LICSW
Gender
Male
Entity Type
Individual
Location Address
16123 GRANT UTLEY AVE NW CASS LAKE, MN 56633
Location Phone
(218) 335-3050
Mailing Address
34335 MUSKRAT RD LAPORTE, MN 56461
Is Sole Proprietor?
No
Enumeration Date
11-15-2024
Last Update Date
11-15-2024
Code Navigator

A clinical social worker like Tyler Johnson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
31432
License State
MN
Taxonomy Description
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.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215752274, enumerated as an "individual" on November 15, 2024.

The provider is located at 16123 GRANT UTLEY AVE NW CASS LAKE, MN 56633 and the phone number is (218) 335-3050.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.