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Tim Johnson, MSW,LICSW&LMFT
Marriage & Family Therapist in Lake Elmo, Minnesota
NPI 1154310126

Tim Johnson is a Marriage & Family Therapist based in Lake Elmo, MN. Tim Johnson practices in Lake Elmo, MN and has the professional credentials of MSW,LICSW&LMFT. The NPI Number for Tim Johnson is 1154310126 and holds a License No. 409 (Minnesota).

The current practice location address for Tim Johnson is 8669 Eagle Point Blvd, Lake Elmo, MN and can be reached out via phone at 651-379-0444 and via fax at 651-379-0448.

Location: 8669 Eagle Point Blvd, Lake Elmo, MN, 55042-8628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154310126
Provider Name
Tim Johnson
Credential
MSW,LICSW&LMFT
Provider Entity Type
Individual
Gender
Male
Address
8669 Eagle Point Blvd, Lake Elmo, MN, 55042-8628
Phone Number
651-379-0444
Fax Number
651-379-0448
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
563T1JO 01 MN BCBS ID#
62-13403 01 MN MEDICA/UBH ID#
247927 01 MN COMPSYCH
O95457000 01 MAGELLAN/AETNA
181557200 05 MN
69599 01 MN VALUE OPTIONS ID#
102218 01 BHP/FAIRVIEW ID#
HP45669 01 MN HEALTH PARTNERS ID#
institution
Provider Business Practice Location Address Details
Address
8669 Eagle Point Blvd
City
Lake Elmo
State
Minnesota
Zip
55042-8628
Phone Number
651-379-0444
Fax Number
651-379-0448
person
Provider Business Mailing Address Details
Address
8669 Eagle Point Blvd
City
Lake Elmo
State
Minnesota
Zip
55042-8628
Phone Number
651-379-0444
Fax Number
651-379-0448
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
157 (Minnesota)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
409 (Minnesota)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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