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Active NPI 1205451317 Individual Practitioner Female Practitioner

Jennifer Johnson

Social Worker • Fargo, ND

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jennifer Johnson is a certified Social Worker practicing in Fargo, ND. With approximately 6 years of clinical experience since completing medical education in 2020, Jennifer Johnson delivers high-quality medical care to the local community at 2624 9TH AVE S.

Jennifer Johnson is affiliated with Northwest Human Service Center and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

2624 9th Ave S

Fargo, ND 581032350

Telephone 7012984500
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fargo, ND

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -1.3 yrs vs City Avg
City Avg: 7.3 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
272 Specialists

Practicing in Fargo, ND (864 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (6 Years) 6 Yrs
Fargo Specialty Average (7.3 Years) 7.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-12-07
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License ND 5917

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Hospital & Practice Group Affiliations

Northwest Human Service Center

316 2nd Ave W, Williston, ND 588015218

Phone: 7017744600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Specialist

NPI 1003537044
Deton Hart

Counselor - Professional

NPI 1013670215
Sara Nicoli , MED, LAC

Counselor - Addiction (Substance Use Disorder)

NPI 1013929371

Master of Education, Licensed Acupuncturist

NPI 1023041241

Licensed Professional Clinical Counselor

NPI 1023441086

Licensed Social Worker

Tracy Diedrich

Case Manager/Care Coordinator

NPI 1033081708

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated December 07, 2021

Recorded as JENNIFER JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2021

Case Manager/Care Coordinator

NPI Profile Active June 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2020

Registered at 2624 9TH AVE S, FARGO, ND 581032350 (Tel: 7012984500)

📍
Updated Business Mailing Address June 15, 2020

Registered at 2624 9TH AVE S, FARGO, ND 581032350 (Tel: 7012984500)

👤
Provider Name / Credentials Updated June 15, 2020

Recorded as JENNIFER MODINE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Social Worker (License #5917 in ND)

🟢
Initial NPI Registration & Enumeration June 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205451317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2020
Last Update: December 07, 2021
Sole Proprietor: No

Mailing Address

2624 9th Ave S

Fargo, ND 581032350

Phone: 7012984500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.