Mrs Irene Teresa Johnson, MSW, LCSW, LICSW in Fargo, ND

Mrs Irene Teresa Johnson, MSW, LCSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fargo, North Dakota. Her current practice location is 2102 Elm Street N Fargo Va Hcs, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 239-3700.

Mrs Irene Teresa Johnson is licensed to practice in Minnesota (license number 27855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295733319.

Contact Information

	Mrs Irene Teresa Johnson, MSW, LCSW, LICSW
	2102 Elm Street N Fargo Va Hcs, Fargo, ND 58102
	(701) 239-3700
	(307) 745-8761

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Irene Teresa Johnson
Gender	Female
Speciality	Social Worker - Clinical
Location	2102 Elm Street N Fargo Va Hcs, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295733319
Provider Enumeration Date: 07/12/2005
Last Update Date: 04/10/2025

Medicare PECOS Information:

PECOS PAC ID: 7214124940
Enrollment ID: I20250415002742

Medical Identifiers

Medical identifiers for Mrs Irene Teresa Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295733319	NPI	-	NPPES
800012487	Other		RR MED
311123	Other	WY	BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-374 (Wyoming)	Secondary
1041C0700X	Social Worker - Clinical	374 (Wyoming)	Secondary
1041C0700X	Social Worker - Clinical	27855 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Irene Teresa Johnson allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Irene Teresa Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Irene Teresa Johnson, MSW, LCSW, LICSW 2101 Elm Street N Fargo Va Hcs, Fargo, ND 58102 Ph: (307) 745-8915	Mrs Irene Teresa Johnson, MSW, LCSW, LICSW 2102 Elm Street N Fargo Va Hcs, Fargo, ND 58102 Ph: (701) 239-3700

Reviews and Comments

Social Worker in Fargo, ND

Rachel Marsolek, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 1st Ave N, Fargo, ND 58102 Phone: 701-461-7364
Brittany Joy Alexander, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy E Mohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3106 Fax: 701-234-3106
Rachel Salquist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy M Foldesi-penas, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3100 Fax: 701-234-3120
Lindsey Leigh Krueger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6046 14th St S, Fargo, ND 58104 Phone: 701-404-0997 Fax: 701-566-8876
Deonne J Varriano, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400

Mrs Irene Teresa Johnson, MSW, LCSW, LICSW - Medicare Clinical Social Worker in Fargo, ND