| Mr Alan Ralph Johnson, LICSW LMFT | |
|
1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | |
| (320) 231-9148 | |
| (320) 231-9140 |
| Full Name | Mr Alan Ralph Johnson |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 40 Years |
| Location | 1125 6th Street Se, Willmar, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841359023 | NPI | - | NPPES |
| 1013108 | Other | PREFERRED ONE | |
| 5220229 | Other | UBH | |
| 115374 | Other | UCARE | |
| 30025JO | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 530 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 193 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carris Health Llc | Willmar, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carris Health Llc | 7012274228 | 41 |
| Entity Name | Carris Health Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alan Ralph Johnson, LICSW LMFT 2441 66th Ave Ne, Willmar, MN 56201 Ph: (320) 235-4613 | Mr Alan Ralph Johnson, LICSW LMFT 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 Ph: (320) 231-9148 |
Cheryl Block Hansen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 2nd St Sw, Willmar, MN 56201 Phone: 320-235-7232 | |
Jenna Prusa, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 513 5th St Sw, Willmar, MN 56201 Phone: 320-214-9692 Fax: 320-214-9924 | |
Becca Warne, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 | |
Mr. Barry Leroy Evans, MASTER SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th Street Se, Woodland Centers, Willmar, MN 56201 Phone: 320-231-9148 Fax: 320-231-9140 | |
Taylor Madsen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 | |
Mrs. Brenda Jean Hubers, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1604 1st St S, #225, Willmar, MN 56201 Phone: 320-905-4163 | |
David Anthony Munson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 320-231-9141 |