Tasha Johnson, is a medicare enrolled "Social Worker - Clinical" provider in Jackson, Mississippi. She graduated from healthcare school in 1999 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
7 Lakeland Cir, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(769) 279-2474.
Tasha Johnson is licensed to practice in California (license number 127626) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1508308008.
Healthcare Provider's Profile
| Full Name | Tasha Johnson |
|---|
| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 27 Years |
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| Location | 7 Lakeland Cir, Jackson, Mississippi |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tasha Johnson graduated from medical school in 1999
NPI Data:
- NPI Number: 1508308008
- Provider Enumeration Date: 11/15/2016
- Last Update Date: 07/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163932336
- Enrollment ID: I20250730004752
Medical Identifiers
Medical identifiers for Tasha Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508308008 | NPI | - | NPPES |
| 01670076 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 127626 (California) | Primary |
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. Tasha 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 |
|---|
Tasha Johnson,
Po Box 10551,
Jackson, MS 39289-0551
Ph: (769) 279-2474 | Tasha Johnson,
7 Lakeland Cir,
Jackson, MS 39216-5022
Ph: (769) 279-2474 |
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