LACIE LEEANN JOHNSON (LICSW) – Social Worker, NPI 1578893517

Social Worker

LACIE LEEANN JOHNSON (LICSW) is a healthcare provider. based in Woodbury, Minnesota. specializing in Social Worker. They hold the professional credentials LICSW. They hold a License No. 17988 (MN). The NPI Number for LACIE LEEANN JOHNSON (LICSW) is 1578893517

Main info

Female

20 Years Of Experience

Accepts Medicare Assignment

Name

LACIE LEEANN JOHNSON (LICSW)

NPI

1578893517

Phone

(651) 379-1718

Address

1811 WEIR DR STE 270

Enumeration Date

13 January 2010

Last Update Date

6 February 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6517149646651714

Graduation Year

2006 (20 years ago)

PAC ID

9335401389

Group Practice PAC ID

6406752492

Professional Enrollment ID

I20180403000584

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience51

Completeness75

Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for LACIE LEEANN JOHNSON (LICSW)

270, Weir Drive, Woodbury, Washington County, Minnesota, 55125, United States
WOODBURY, MN 551256741
Phone: (651) 379-1718
Fax: (651) 714-9647
Type: Mailing
1811, Weir Drive, Woodbury, Washington County, Minnesota, 55125, United States
WOODBURY, MN 551252272
Phone: (651) 714-9646
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6406752492View full group profile

Name	Specialty	State
DR. SHEEBA RAHMAN (MD)	-	GA
ABIGAIL FLETCHER	Mental Health Counselor	MN
MR. DAVID ALOIS JR. PRASKA (MA, LMFT)	Marriage And Family Therapist	MN
DR. NAKISA ASHLEY KHOSHNEVIS (PSY.D, LP)	Clinical Psychologist	MN
JENNIFER BRIANNE TOTH (MA, LPCC)	Mental Health Counselor	MN
MEGAN ALISSA SEPTER (MA PSYD)	Clinical Psychologist	MN
MRS. EMILY CONERY (MA, LPCC)	Mental Health Counselor	MN
ANA MORSE (M.S.)	Mental Health Counselor	MN
COLIN GREGORY COOPER (LPCC)	Mental Health Counselor	MN
ELDON JAMES BRUE (PH.D., LP, LMFT)	-	MN