| Kristi Leigh Johnson, MSW, LICSW | |
|
1540 Lake St S, Forest Lake, MN 55025-2628 | |
| (651) 464-7100 | |
| (651) 241-1515 |
| Full Name | Kristi Leigh Johnson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 1540 Lake St S, Forest Lake, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497071856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13281 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Associated Clinic Of Psychology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Leigh Johnson, MSW, LICSW 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Kristi Leigh Johnson, MSW, LICSW 1540 Lake St S, Forest Lake, MN 55025-2628 Ph: (651) 464-7100 |
Erica Rae Cournoyer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18323 July Ave N, Forest Lake, MN 55025 Phone: 651-329-9476 | |
Mai Khou Yang, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 W Broadway Ave Ste A, Forest Lake, MN 55025 Phone: 651-408-5154 | |
Susan Kreulen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Lake St N, Suite 210, Forest Lake, MN 55025 Phone: 612-672-1514 Fax: 651-464-4847 | |
Adrienne M Kovar, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1068 Lake St S, Ste 109, Forest Lake, MN 55025 Phone: 651-982-4792 Fax: 651-982-6035 | |
Cassie Nieman, M.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 W Broadway Ave, Suites 2 And 3, Forest Lake, MN 55025 Phone: 651-251-5226 Fax: 651-251-5279 | |
Ms. Elizabeth Anne Mcinerney, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 882 Sw 15th Avenue, Forest Lake, MN 55025 Phone: 651-464-2194 |