SANDRA JOHNSON LICSW
NPI 1972679009
Social Worker - Clinical in Minneapolis, MN

Active since November 28, 2006PECOS Enrolled
3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sandra Johnson Licsw NPPES

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

SANDRA JOHNSON LICSW (NPI 1972679009) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (6196) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972679009
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA JOHNSONCredential: LICSW
Location Address3100 W LAKE ST, SUITE 210Minneapolis, MN 55416-4527
Mailing Address3100 W Lake St, Suite 210Minneapolis, MN 55416-4527 · (612) 925-6033 · Fax (612) 925-8496
Fax(612) 925-8496
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1972679009 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 · 6196
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.

3100 W LAKE ST, Minneapolis, MN 55416

Other Identifiers 3

Other660S1JOMN · Bcbs
Other6264595MN · Medica Choice
OtherHP38292MN · Healthpartners

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 (PECOS)

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

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 55416 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.

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.

Psychologist (Clinical)
3100 W LAKE ST, SUITE 107
MINNEAPOLIS, MN 55416
Psychologist
3100 W LAKE ST, SUITE
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
3100 W LAKE ST, STE 320
MINNEAPOLIS, MN 55416
Psychologist (Group Psychotherapy)
3100 W LAKE ST, #320
MINNEAPOLIS, MN 55416
Psychologist (Clinical)
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416
Psychologist (Clinical)
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416
Psychologist (Clinical)
3100 W LAKE ST, SUITE 210
MINNEAPOLIS, MN 55416

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 Sandra Johnson's NPI number?

The NPI number for Sandra Johnson is 1972679009. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Sandra Johnson located?

Sandra Johnson practices at 3100 W Lake St Suite 210, Minneapolis, MN 55416. The listed phone number is (612) 925-6033.

What is Sandra Johnson's specialty?

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

Is Sandra Johnson enrolled in Medicare?

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

What insurance does Sandra Johnson accept?

Health plans from HealthPartners list Sandra 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 Sandra Johnson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.