Individual
SCOTT KENNETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, LCSW
Contact information
Practice address
308 9TH AVE W STE 1, ASHLAND, WI 54806-1321
(715) 575-4322
(855) 702-1966
Mailing address
PO BOX 631, ASHLAND, WI 54806-0631
(715) 575-4322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
21082
MN
1041C0700X
Clinical Social Worker
Primary
8473
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255698205
—
MN
05
—
1255698205
—
WI
Enumeration date
04/16/2012
Last updated
05/11/2026
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