TIFFANY JOHNSON – Clinical Social Worker, NPI 1821398637

TIFFANY JOHNSON is a healthcare provider. based in Reno, Nevada. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 7362 (KS). The NPI Number for TIFFANY JOHNSON is 1821398637

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY JOHNSON
NPI
1821398637
Phone
(775) 827-2400
Address
10405 DOUBLE R BLVD
Enumeration Date
26 October 2010
Last Update Date
27 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7758272400
Graduation Year
2004 (22 years ago)
PAC ID
7810368545
Group Practice PAC ID
1355627597
Professional Enrollment ID
I20230117001904
Address ID
NV895218905RE10405BLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:15State licenses:3Digital endpointsOther names

548 CLINICAL SOCIAL WORKER in NV

Provider Addresses for TIFFANY JOHNSON

  • 10405 DOUBLE R BLVD

    RENO, NV 895218905

    Phone: (775) 827-2400

    Type: Mailing

  • 1000 LOCUST ST

    RENO, NV 895022597

    Phone: (775) 786-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230117001904IClinical Social WorkerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89521)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355627597View full group profile
NameSpecialtyState
Marriage And Family TherapistNV
Physician AssistantNV
Clinical Social WorkerNV
Nurse PractitionerNC
Clinical Social WorkerNC
Clinical Social WorkerNV
Clinical Social WorkerNV
P S Y C H I A T R YNV

Reviews

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Frequently asked questions

What is the registry number for TIFFANY JOHNSON?
The registry entry for TIFFANY JOHNSON shows NPI 1821398637.
Is TIFFANY JOHNSON's NPI status active today?
Active status means TIFFANY JOHNSON's NPI record is not deactivated in the public file.
How should patients interpret TIFFANY JOHNSON's specialty?
The extract shows Clinical Social Worker for TIFFANY JOHNSON. Clinical services aligned with this taxonomy classification.
Is TIFFANY JOHNSON tied to Reno, Nevada?
If you are local to Reno, Nevada, TIFFANY JOHNSON may be relevant to your search.
Why is information missing for TIFFANY JOHNSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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