Tiffanie Effie Johnson, MSW, LCSW in Los Angeles, CA - Medicare Clinical Social Worker Provider

Tiffanie Effie Johnson, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. She graduated from healthcare school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Blue Moon Senior Counseling Of California Llc and her current practice location is 5811 S San Pedro St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 234-4445.

Tiffanie Effie Johnson is licensed to practice in California (license number 92283) 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 1083015572.

Contact Information

	Tiffanie Effie Johnson, MSW, LCSW
	5811 S San Pedro St, Los Angeles, CA 90011-5323
	(323) 234-4445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffanie Effie Johnson
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	5811 S San Pedro St, Los Angeles, California
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:

Tiffanie Effie Johnson graduated from medical school in 2016

NPI Data:

NPI Number: 1083015572
Provider Enumeration Date: 09/16/2014
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6709211048
Enrollment ID: I20200115001676

Medical Identifiers

Medical identifiers for Tiffanie Effie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083015572	NPI	-	NPPES
00838	Other	CA	L.A. COUNTY DMH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	92283 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Moon Senior Counseling Of California Llc	9335360981	59

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. Tiffanie Effie Johnson allows following entities to bill medicare on her behalf.

Entity Name	Blue Moon Senior Counseling Of California Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497

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. Tiffanie Effie 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
Tiffanie Effie Johnson, MSW, LCSW 5811 S San Pedro St, Los Angeles, CA 90011-5323 Ph: (323) 234-4445	Tiffanie Effie Johnson, MSW, LCSW 5811 S San Pedro St, Los Angeles, CA 90011-5323 Ph: (323) 234-4445

Tiffanie Effie Johnson, MSW, LCSW - Medicare Counselor in Los Angeles, CA