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GRACE JOHNSON LICSW
NPI 1275494932
Social Worker - Clinical in Maple Grove, MN

Active since November 21, 2025PECOS Enrolled
7767 ELM CREEK BLVD N STE 240, MAPLE GROVE, MN 55369(651) 313-8080 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Grace Johnson Licsw NPPES

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

GRACE JOHNSON LICSW (NPI 1275494932) is an individual clinical provider in Maple Grove, Minnesota, licensed in Minnesota (32337) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275494932
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGRACE JOHNSONCredential: LICSW
Location Address7767 ELM CREEK BLVD N STE 240Maple Grove, MN 55369-7041
Mailing Address7767 Elm Creek Blvd N Ste 240Maple Grove, MN 55369-7041
Phone(651) 313-8080
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1275494932 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 · 32337
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.
7767 ELM CREEK BLVD N STE 240, Maple Grove, MN 55369
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Johnson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436644382
PECOS Enrollment IDI20251218002674
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 55369 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.

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 Grace Johnson's NPI number?

The NPI number for Grace Johnson is 1275494932. It was assigned to this individual provider in the NPPES registry on November 21, 2025.

Where is Grace Johnson located?

Grace Johnson practices at 7767 Elm Creek Blvd N Ste 240, Maple Grove, MN 55369. The listed phone number is (651) 313-8080.

What is Grace Johnson's specialty?

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

Is Grace Johnson enrolled in Medicare?

Yes. Grace Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Johnson was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.