Samuel Johnson, in Minneapolis, MN - Medicare Clinical Social Worker Provider

Samuel Johnson, is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Stone Arch Psychology And Health Services and his current practice location is 219 Se Main St Ste 400, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 886-2524.

Samuel Johnson is licensed to practice in Minnesota (license number 29698) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1013434299.

Contact Information

	Samuel Johnson,
	219 Se Main St Ste 400, Minneapolis, MN 55414-2151
	(612) 886-2524
	(612) 886-2538

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Johnson
Gender	Male
Speciality	Clinical Social Worker
Experience	8 Years
Location	219 Se Main St Ste 400, Minneapolis, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Johnson graduated from medical school in 2017

NPI Data:

NPI Number: 1013434299
Provider Enumeration Date: 08/28/2017
Last Update Date: 09/23/2025

Medicare PECOS Information:

PECOS PAC ID: 2769877562
Enrollment ID: I20220314001676

Medical Identifiers

Medical identifiers for Samuel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013434299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	29698 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stone Arch Psychology And Health Services	6709045784	4

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. Samuel Johnson allows following entities to bill medicare on his 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

Entity Name	Stone Arch Psychology And Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124398607 PECOS PAC ID: 6709045784 Enrollment ID: O20120312000071

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. Samuel 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
Samuel Johnson, 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 Ph: (612) 886-2524	Samuel Johnson, 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 Ph: (612) 886-2524

Reviews and Comments

Social Worker in Minneapolis, MN

Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169
Catherine Elaine Mcnaughton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138
Don Coleman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Elissa J Allen, LGSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454

Samuel Johnson, - Medicare Clinical Social Worker in Minneapolis, MN