Dr Syrenia Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Horn Lake, Mississippi. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1751 Dancy Blvd, Horn Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 892-2660.
Dr Syrenia Johnson is licensed to practice in Mississippi (license number C9498) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598113482.
Healthcare Provider's Profile
| Full Name | Dr Syrenia Johnson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 1751 Dancy Blvd, Horn Lake, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Syrenia Johnson graduated from medical school in 2020
NPI Data:
- NPI Number: 1598113482
- Provider Enumeration Date: 06/01/2016
- Last Update Date: 11/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769713684
- Enrollment ID: I20191008001049
Medical Identifiers
Medical identifiers for Dr Syrenia Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598113482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | C9498 (Mississippi) | Primary |
| 1041C0700X | Social Worker - Clinical | 6830 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 109681 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5078C (Alabama) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Syrenia Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Psychosocial Boutique Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841846904 PECOS PAC ID: 7517298425 Enrollment ID: O20191008000561 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Syrenia Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Syrenia Johnson, LCSW 1350 Sunset Dr Ste D, Grenada, MS 38901-4079 Ph: (662) 892-2660 | Dr Syrenia Johnson, LCSW 1751 Dancy Blvd, Horn Lake, MS 38637-1916 Ph: (662) 892-2660 |
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