Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Johnson

Individual provider Clinical Social Worker · NPI 1013434299

Samuel Johnson is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2017, 9 years ago. Practices with Stone Arch Psychology and Health Services, a 7-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
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Practice location Address checks out

219 SE Main St Ste 400
Minneapolis, MN 55414-2151
Phone: (612) 886-2524
Fax: (612) 886-2538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 29698 (MN)

Record details

NPI number1013434299
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2017
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stone Arch Psychology And Health Services — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients35
Services billed 199 a service is one billed item, such as a visit, a test or a procedure
Average patient age44

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Stone Arch Psychology and Health Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Minneapolis