Samuel Johnson
NPI 1013434299ActiveIndividual· Social Worker, Clinical· Minneapolis, MN
Social Worker, Clinical with Stone Arch Psychology and Health Services, practicing in Minneapolis, Minnesota. Medicare paid $16,046 for services to 35 patients in 2024.
Overview
| NPI | 1013434299 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 28, 2017 |
| Last updated in NPPES | Sep 23, 2025 |
| Certified by provider | Sep 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 29698 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 199 across 5 procedure codes |
| Paid by Medicare | $16,046 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Stone Arch Psychology and Health ServicesMinneapolis, MN · 8 clinicians
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