TREVOR B JOHNSON (NPI# 1679860357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679860357 |
| Entity Type | Individual |
| Full Name | TREVOR B JOHNSON |
| Credential | MSW, LICSW |
| Practice Address |
2400 Park Ave Minneapolis MN 55404-3713 |
| Practice Telephone | 6128795320 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
19378 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 710 S 2nd St, Mankato, MN 560013810 | 5076257660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184101768 | Trevor J Johnson | Physical Therapy Assistant | 6020 W Parker Rd Ste 300, Plano, TX 75093-8177 | 2018-07-25 |
| 1912208646 | Trevor Johnson | Social Worker | 3575 Macon Rd Ste 731907, Columbus, GA 31907-8200 | 2010-11-11 |
| 1760710735 | Trevor E Johnson | Anesthesiologist Assistant | 72 Village Way Ste 2b, Hudson, OH 44236-5127 | 2009-12-02 |
| 1609102698 | Trevor Russell Johnson | Specialist/Technologist, Other | 320 Santa Fe Dr Ste 301, Encinitas, CA 92024-5140 | 2009-10-26 |
| 1952562514 | Trevor Gregg Johnson | Dentist | 8700 W 101st Ave Ste 300, Westminster, CO 80021 | 2008-06-17 |
| 1982711933 | Trevor Johnson | Physical Therapist | 610 Solarex Court, Frederick, MD 21703 | 2006-08-24 |
| 1023501707 | Trevor Jacob Johnson | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Hwy, New Orleans, LA 70121-2426 | 2018-06-07 |
| 1003278003 | Trevor A Johnson | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104 | 2016-03-28 |
| 1568841609 | Trevor Allen Johnson | Physical Therapist | 1510 Collingwood Rd, Alexandria, VA 22308-1605 | 2015-05-21 |
| 1699093963 | Trevor Johnson | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2010-05-12 |
| Street Address |
2400 PARK AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124251277 | Cassandra Joy Zonnefeld | Social Worker | 2400 Park Ave, Minneapolis, MN 55404-3713 | 2009-08-24 |
| 1407495724 | Jennifer R Fey | Social Worker | 2400 Park Ave, Minneapolis, MN 55404-3713 | 2020-01-03 |
| 1689138901 | Kari Sue Duong-topp | Psychologist | 2400 Park Ave, Minneapolis, MN 55404-3713 | 2019-01-31 |
| 1457722316 | Jolaina L Falkenstein | Marriage & Family Therapist | 2400 Park Ave, Minneapolis, MN 55404-3713 | 2015-10-16 |
| 1023435690 | Amanda Luedtke | Counselor | 2400 Park Ave, Minneapolis, MN 55404 | 2014-03-21 |
| 1093947889 | Sharyn Marie Dezelar | Social Worker | 2400 Park Ave, Minneapolis, MN 55404-3713 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1093312985 | Concord Psychotherapy Inc. | Social Worker | 4749 Chicago Ave Ste 1b, Minneapolis, MN 55407-4181 | 2020-10-05 |
| 1376167056 | Jennifer Hooyman | Social Worker | 3126 Cleveland St Ne, Minneapolis, MN 55418-2330 | 2020-05-29 |
| 1649893777 | Sarah Slathar | Social Worker | 2511 Grand St Ne # 2, Minneapolis, MN 55418-3318 | 2020-05-23 |
| 1811510332 | Madison Keel Peton | Social Worker | 825 Nicollet Mall Ste 455, Minneapolis, MN 55402-2606 | 2020-05-19 |
| 1538789474 | Mackenzie Landbloom | Social Worker | 825 S 8th St Ste 400, Minneapolis, MN 55404-1216 | 2020-04-21 |
| 1568090462 | Paul Samuel Schuster | Social Worker | 3249 Hennepin Ave Ste 258, Minneapolis, MN 55408-3993 | 2020-03-28 |
| 1053947077 | Natalie Jean Taber | Social Worker | 1645 Hennepin Ave Ste 221, Minneapolis, MN 55403-1701 | 2020-03-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.