Tyler Johnson, LCSW, LAC is a
Social Worker - Clinical based in Sioux Falls, South Dakota. Tyler Johnson is licensed to practice in South Dakota (license number 6338) and his current practice location is
2412 S Cliff Ave, Sioux Falls, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 322-4079.
NPI number for Tyler Johnson is 1578341020 and his current mailing address is 2412 S Cliff Ave, Sioux Falls, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578341020.
Healthcare Provider's Profile
| Full Name | Tyler Johnson |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2412 S Cliff Ave, Sioux Falls, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578341020
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 09/18/2023
Medical Identifiers
Medical identifiers for Tyler Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578341020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23071956 (South Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6338 (South Dakota) | 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. Tyler Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
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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