Catherine Rose Johanneck, M.S.W. L.I.C.S.W
NPI 1932470127ActiveIndividual· Social Worker, Clinical· Fridley, MN
Social Worker, Clinical (M.S.W. L.I.C.S.W) with Dbt Associates, practicing in Fridley, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1932470127 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S.W. L.I.C.S.W |
| Sole proprietor | No |
| NPI issued | Jan 19, 2012 |
| Last updated in NPPES | May 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 17989 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Dbt AssociatesFridley, MN · 5 clinicians
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