Jean Nicole Johnson, LICSW
NPI 1235019001ActiveIndividual· Social Worker, Clinical· Worthington, MN
Social Worker, Clinical (LICSW) with Southwestern Mental Health Center Inc, practicing in Worthington, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1235019001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Sep 3, 2025 |
| Last updated in NPPES | Sep 3, 2025 |
| Certified by provider | Sep 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 31246 | 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 - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Southwestern Mental Health Center IncLuverne, MN · 15 clinicians
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