Individual
TIM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W., LICSW & LMFT
Contact information
Practice address
8669 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 379-0444
(651) 379-0448
Mailing address
8669 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 379-0444
(651) 379-0448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
409
MN
106H00000X
Marriage & Family Therapist
Primary
157
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102218
BHP/FAIRVIEW ID#
—
05
—
181557200
—
MN
01
—
247927
COMPSYCH
MN
01
—
563T1JO
BCBS ID#
MN
01
—
62-13403
MEDICA/UBH ID#
MN
01
—
69599
VALUE OPTIONS ID#
MN
01
—
HP45669
HEALTH PARTNERS ID#
MN
01
—
O95457000
MAGELLAN/AETNA
—
Enumeration date
10/20/2005
Last updated
12/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us