KENNETH JOHNSON LICSW
NPI 1578625893
Social Worker - Clinical in Shoreview, MN

Active since December 14, 2006
3570 LEXINGTON AVE N, SHOREVIEW, MN 55126(651) 481-0664(651) 481-3907 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Johnson Licsw NPPES

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

KENNETH JOHNSON LICSW (NPI 1578625893) is an individual clinical provider in Shoreview, Minnesota, licensed in Minnesota (495) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1578625893
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKENNETH JOHNSONCredential: LICSW
Location Address3570 LEXINGTON AVE NShoreview, MN 55126-8049
Mailing Address503 Lakewood Dr SMaplewood, MN 55119-5522 · (651) 481-0664 · Fax (651) 481-3907
Fax(651) 481-3907
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1578625893 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 · 495
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.
3570 LEXINGTON AVE N, Shoreview, MN 55126

Other Identifiers 1

OtherHP34166MN · Health Partners

Other Providers at the Same Location NPPES 12

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

Chiropractor
3570 LEXINGTON AVE N, STE 208
SHOREVIEW, MN 55126
Chiropractor
3570 LEXINGTON AVE N, STE 208
SHOREVIEW, MN 55126
Social Worker
3570 LEXINGTON AVE N, SUITE 102
SHOREVIEW, MN 55126
Psychologist (Counseling)
3570 LEXINGTON AVE N, 100
SHOREVIEW, MN 55126
Counselor (Professional)
3570 LEXINGTON AVE N, SUITE 100
SHOREVIEW, MN 55126
Social Worker (Clinical)
3570 LEXINGTON AVE N, SUITE 100
SHOREVIEW, MN 55126
Clinic/Center
3570 LEXINGTON AVE N, #208
SHOREVIEW, MN 55126
Marriage & Family Therapist
3570 LEXINGTON AVE N, SUITE 102
SHOREVIEW, MN 55126

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 Kenneth Johnson's NPI number?

The NPI number for Kenneth Johnson is 1578625893. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Kenneth Johnson located?

Kenneth Johnson practices at 3570 Lexington Ave N, Shoreview, MN 55126. The listed phone number is (651) 481-0664.

What is Kenneth 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 Kenneth Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.