| Ronald E Johnson, MSW, LICSW | |
|
9201 E Bloomington Fwy, Suite Q, Bloomington, MN 55420-3437 | |
| (952) 884-7353 | |
| Not Available |
| Full Name | Ronald E Johnson |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 55 Years |
| Location | 9201 E Bloomington Fwy, Bloomington, 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 |
|---|---|---|---|
| 1912072976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LICSW07359 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald E Johnson, MSW, LICSW 5809 Garfield Ave, Minneapolis, MN 55419-2216 Ph: () - | Ronald E Johnson, MSW, LICSW 9201 E Bloomington Fwy, Suite Q, Bloomington, MN 55420-3437 Ph: (952) 884-7353 |
Kaitlyn Crowell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9910 Drew Ave S Apt 107, Bloomington, MN 55431 Phone: 320-249-7214 | |
Clare Eileen Schuetz, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 612-400-6173 Fax: 612-728-5301 | |
Cassandra Lynn Moorhead Ayub, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Suite 1, Bloomington, MN 55425 Phone: 952-737-6202 Fax: 612-728-5301 | |
Sean Alexander Pagoada, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9911 Brookside Ave, Bloomington, MN 55431 Phone: 305-562-9874 | |
Maria Angelica Keller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 American Blvd E Ste 134, Bloomington, MN 55420 Phone: 651-338-0913 | |
Sarah Thukral, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267 | |
Megan Ferge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 Fax: 952-886-7015 |