| Tiffany Irene Johnson, MSW, LICSW | |
|
9220 Bass Lake Rd Ste 255, New Hope, MN 55428-3019 | |
| (763) 252-4502 | |
| (888) 965-5130 |
| Full Name | Tiffany Irene Johnson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 15 Years |
| Location | 9220 Bass Lake Rd Ste 255, New Hope, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982063657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21005 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Volunteers Of America Mn/wi | 8123050259 | 6 |
| Entity Name | Volunteers Of America Mn/wi |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093769572 PECOS PAC ID: 8123050259 Enrollment ID: O20050915000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Irene Johnson, MSW, LICSW 7625 Metro Blvd Ste 200, Minneapolis, MN 55439-3079 Ph: (763) 225-4052 | Tiffany Irene Johnson, MSW, LICSW 9220 Bass Lake Rd Ste 255, New Hope, MN 55428-3019 Ph: (763) 252-4502 |
Tara Noelle Tappe, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9220 Bass Lake Rd Ste 255, New Hope, MN 55428 Phone: 763-225-4052 | |
Ms. Mary Kay Schoen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 W Broadway Ave Apt 102, New Hope, MN 55428 Phone: 763-222-6042 | |
Katie Suzanne Perzel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9220 Bass Lake Rd Ste 255, New Hope, MN 55428 Phone: 763-225-4052 | |
Jaleesa Lenoir, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Farah Ahamed Noorani, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Hannah Claire Langholz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Bree Lynn Meduna, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 |