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BETH LAURIE JOHNSON MSW, LICSW
NPI 1912556952
Social Worker - Clinical in Coon Rapids, MN

Active since September 11, 2019PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
11850 BLACKFOOT ST NW STE 130, COON RAPIDS, MN 55433(763) 236-6061(763) 236-6065 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2020, Sep 11, 2019 (2 updates tracked since 2019).

About Beth Laurie Johnson Msw, Licsw NPPES

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

BETH LAURIE JOHNSON MSW, LICSW (NPI 1912556952) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (19834) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fridley, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912556952
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETH LAURIE JOHNSONCredential: MSW, LICSW
Location Address11850 BLACKFOOT ST NW STE 130Coon Rapids, MN 55433-2583
Mailing Address11850 Blackfoot St Nw Ste 130Coon Rapids, MN 55433-2583 · (763) 236-6061 · Fax (763) 236-6065
Phone(763) 236-6061
Fax(763) 236-6065
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 11, 2019
Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
✔ NPI 1912556952 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 · 19834
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.
11850 BLACKFOOT ST NW STE 130, Coon Rapids, MN 55433
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Secondary Practice Location 1

Location 1480 Osborne Rd NE Ste 200Fridley, MN 55432-2866 · Phone (763) 236-6061 · Fax (763) 236-6065

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

Beth Laurie Johnson Msw, 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.

PECOS PAC ID5092126557
PECOS Enrollment IDI20201204001886
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 55433 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 19

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

SABRINA JIA TANG PA
Physician Assistant
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433
Anoka County (763) 236-9000
DR. AGNIESZKA S HATFIELD M.D.
Surgery (Plastic and Reconstructive Surgery)
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433
Anoka County (763) 236-1900
MRS. ALYSSA MARIE ROSEN RD
Dietitian, Registered
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433
Anoka County (763) 236-2045
MS. KAYLA JOY MILLER PA-C
Physician Assistant
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433
Anoka County (763) 236-9000
KAO VANG
Physician Assistant
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433
Anoka County (763) 236-9000
WILLIAM J MOHR MD
Surgery
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433
Anoka County (763) 236-9000
MS. ANNE ELIZABETH BECHTEL RDN
Dietitian, Registered
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433
Anoka County (763) 236-2045
ALLINA HEALTH SYSTEM
Family Medicine (Obesity Medicine)
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433
Anoka County (763) 236-2045

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 Beth Johnson's NPI number?

The NPI number for Beth Johnson is 1912556952. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Beth Johnson located?

Beth Johnson practices at 11850 Blackfoot St NW Ste 130, Coon Rapids, MN 55433. The listed phone number is (763) 236-6061.

What is Beth Johnson's specialty?

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

Is Beth Johnson enrolled in Medicare?

Yes. Beth 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.

When was this NPI record last updated?

The NPPES record for Beth Johnson was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.