Tyler Johnson, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Sioux Falls, South Dakota. He graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Avera Mckennan and his current practice location is
2412 S Cliff Ave, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 322-4079.
Tyler Johnson is licensed to practice in South Dakota (license number 6338) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578341020.
Healthcare Provider's Profile
| Full Name | Tyler Johnson |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 2412 S Cliff Ave, Sioux Falls, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tyler Johnson graduated from medical school in 2019
NPI Data:
- NPI Number: 1578341020
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153827522
- Enrollment ID: I20251003002313
Medical Identifiers
Medical identifiers for Tyler Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578341020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23071956 (South Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6338 (South Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Avera Mckennan | 0345157103 | 965 |
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. Tyler 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 |
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Tyler Johnson, LCSW, LAC
2412 S Cliff Ave,
Sioux Falls, SD 57105-4031
Ph: (605) 322-4079 | Tyler Johnson, LCSW, LAC
2412 S Cliff Ave,
Sioux Falls, SD 57105-4031
Ph: (605) 322-4079 |
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