IVY JOHNSON LICSW
NPI 1376295436
Social Worker - Clinical in Saint Paul, MN
About Ivy Johnson Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY JOHNSON LICSW (NPI 1376295436) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (28148) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ivy 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55102
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 Ivy Johnson's NPI number?
The NPI number for Ivy Johnson is 1376295436. It was assigned to this individual provider in the NPPES registry on January 20, 2022.
Where is Ivy Johnson located?
Ivy Johnson practices at 408 Saint Peter St Ste 429, Saint Paul, MN 55102. The listed phone number is (651) 224-0614.
What is Ivy Johnson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ivy Johnson enrolled in Medicare?
Yes. Ivy Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Ivy Johnson accept?
Health plans from HealthPartners list Ivy Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ivy Johnson was last updated on January 20, 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.
# Ivy Johnson, LICSW · NPI 1376295436
Clinical provider in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since January 20, 2022.
## Identity
- **NPI:** 1376295436 (Entity type: Individual)
- **Enumerated:** January 20, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 28148 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 408 SAINT PETER ST STE 429, Saint Paul, MN 55102-1119
- **Phone:** (651) 224-0614 · **Fax:** (651) 224-5754
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376295436) · Data from the CMS NPPES public registry.