Tiffany Dianne Johnson, LCSW in Clarksville, IN - Medicare Social Worker Provider

Tiffany Dianne Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Clarksville, Indiana. Her current practice location is 757 E Lewis And Clark Pkwy # 2031, Clarksville, Indiana. You can reach out to her office (for appointments etc.) via phone at (502) 536-8848.

Tiffany Dianne Johnson is licensed to practice in Indiana (license number 34007645A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124442603.

Contact Information

	Tiffany Dianne Johnson, LCSW
	757 E Lewis And Clark Pkwy # 2031, Clarksville, IN 47129-2269
	(502) 536-8848
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Dianne Johnson
Gender	Female
Speciality	Social Worker - Clinical
Location	757 E Lewis And Clark Pkwy # 2031, Clarksville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124442603
Provider Enumeration Date: 02/05/2014
Last Update Date: 08/19/2025

Medicare PECOS Information:

PECOS PAC ID: 9234418542
Enrollment ID: I20161109000879

Medical Identifiers

Medical identifiers for Tiffany Dianne Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124442603	NPI	-	NPPES
1124442603	Other		NPI
34007645A	Other	IN	LCSW
259524	Other	KY	LCSW
0009920292	Other	CO	LSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	259524 (Kentucky)	Secondary
1041C0700X	Social Worker - Clinical	0009920292 (Colorado)	Secondary
1041C0700X	Social Worker - Clinical	34007645A (Indiana)	Primary

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. Tiffany Dianne Johnson allows following entities to bill medicare on her behalf.

Entity Name	Lifespring Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040805000332

Entity Name	Baptist Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508269200 PECOS PAC ID: 5597867184 Enrollment ID: O20090527000129

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. Tiffany Dianne 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
Tiffany Dianne Johnson, LCSW 757 E Lewis And Clark Pkwy # 2031, Clarksville, IN 47129-2269 Ph: (502) 536-8848	Tiffany Dianne Johnson, LCSW 757 E Lewis And Clark Pkwy # 2031, Clarksville, IN 47129-2269 Ph: (502) 536-8848

Reviews and Comments

Social Worker in Clarksville, IN

Chasidy A Carpenter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 Grantline Road, Clarksville, IN 47129 Phone: 812-981-2594
Ms. Alison Hahn Johnson, LCSW, LMFT, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 586 Eastern Blvd, Clarksville, IN 47129 Phone: 812-282-6663
Dr. Jodi Lynn Goodin, PSYD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1329 Applegate Ln, Southern Indiana Rehabilitation Hosptial, Clarksville, IN 47129 Phone: 812-283-5992 Fax: 812-283-7069
Mrs. Bonnie Sue Doan, MSSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1205 Applegate Ln, Clarksville, IN 47129 Phone: 812-283-8383
James L. Howard, EDD, LCSW, LMFT, CEA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1455 Cedar St, Suite G, Clarksville, IN 47129 Phone: 812-280-1847 Fax: 812-280-0545
Mr. Walter L Phillips, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1506 Idlewood Dr, Clarksville, IN 47129 Phone: 812-945-2369

Tiffany Dianne Johnson, LCSW - Medicare Clinical Social Worker in Clarksville, IN