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JODY REIS-JOHNSON M.DIV.,MSW, LICSW
NPI 1740375740
Social Worker - Clinical in Eagan, MN

Active since October 04, 2006
3450 OLEARY LN, EAGAN, MN 55123(651) 454-0114(651) 454-3492 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jody Reis-johnson M.div.,msw, Licsw NPPES

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

JODY REIS-JOHNSON M.DIV.,MSW, LICSW (NPI 1740375740) is an individual clinical provider in Eagan, Minnesota, licensed in Minnesota (06627) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1740375740
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJODY REIS-JOHNSONCredential: M.DIV.,MSW, LICSW
Location Address3450 OLEARY LNEagan, MN 55123-2340
Mailing Address441 Juniper CtMahtomedi, MN 55115-1558
Phone(651) 454-0114
Fax(651) 454-3492
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740375740 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 · 06627
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.
3450 OLEARY LN, Eagan, MN 55123
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Other Identifiers 5

Other599K6JOMN · Bcbs
Other62-76634FM · Ubh
OtherHP27073MN · Healthpartners
Other157857000MN · Mn Care
Medicare ID-Type Unspecified800001682MN · Medicare

Other Providers at the Same Location NPPES 20

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

MATTHEW STEVEN CARLSON LPC
Counselor (Professional)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 644-8515
JOCELYN SKYE BYRD LICSW
Social Worker (Clinical)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 365-8264
PATRICIA MOORE
Counselor (Professional)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114
MINNESOTA MENTAL HEALTH CLINICS
Community/Behavioral Health
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114
KATHERINE ANN MCGUIRE LPCC
Counselor (Mental Health)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114
SCARLETT HEATHER OCONNELL MA, LPCC
Counselor (Professional)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 365-8228
HALEY KEIFER LPCC
Counselor (Mental Health)
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114
MICHAEL LEE BORTEL M.A.
Psychologist
3450 OLEARY LN
EAGAN, MN 55123
Dakota County (651) 454-0114

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 Jody Reis-johnson's NPI number?

The NPI number for Jody Reis-johnson is 1740375740. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Jody Reis-johnson located?

Jody Reis-johnson practices at 3450 Oleary Ln, Eagan, MN 55123. The listed phone number is (651) 454-0114.

What is Jody Reis-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 Jody Reis-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.