Individual
MRS. IRENE TERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LICSW
Contact information
Practice address
2102 ELM STREET N FARGO VA HCS, FARGO, ND 58102
(701) 239-3700
(307) 745-8761
Mailing address
2101 ELM STREET N FARGO VA HCS, FARGO, ND 58102
(307) 745-8915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27855
MN
1041C0700X
Clinical Social Worker
374
WY
1041C0700X
Clinical Social Worker
LCSW-374
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311123
BS
WY
01
—
800012487
RR MED
—
Enumeration date
07/12/2005
Last updated
04/10/2025
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