Active NPI
Tiffany Dianne Johnson, LCSW
- Clinical Social Worker
- Clarksville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007645A
- Practice address
- 757 E Lewis and Clark Pkwy # 2031
Clarksville, IN 47129-2269 - Phone
- (502) 536-8848
- NPI assigned
- Feb 5, 2014
- Last updated
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 259524 | KY | |
| Clinical Social Worker | 1041C0700X | 0009920292 | CO | |
| Clinical Social Worker | 1041C0700X | 34007645A | IN | Primary |
Addresses
Primary practice location
757 E Lewis and Clark Pkwy # 2031
Clarksville, IN 47129-2269
Mailing address
757 E Lewis and Clark Pkwy # 2031
Clarksville, IN 47129-2269
Phone (502) 536-8848
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34007645A | Other | IN | LCSW |
| 1124442603 | Other | NPI | |
| 0009920292 | Other | CO | LSW |
| 259524 | Other | KY | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 State St
Suite 248
New Albany, IN 47150-6804
Phone (812) 542-4921
312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (866) 630-0966
333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (866) 630-0966
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009920292 | CO | MD | Clinical Social Worker |
| 34007645A | IN | MD | Clinical Social Worker |
| 259524 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Lifespring, Inc | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Clinical | Current | Accepting new patients |
| Lifespring, Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Healing Together | Clinical | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281
460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1919 State St
Ste 248
New Albany, IN 47150
Phone (812) 945-7972
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southern Indiana Mental Health and Guidance Center of ECI
- Community/Behavioral Health Agency
- Jeffersonville, IN
- NPI 1851489942
-
dba LifeSpring Health Systems
- Community/Behavioral Health Agency
- Dale, IN
- NPI 1639029283
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Clinical Social Worker
- New Albany, IN
- NPI 1841170743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1124442603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 E LEWIS AND CLARK PKWY # 2031",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471292269",
"telephone_number": "502-536-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 E LEWIS AND CLARK PKWY # 2031",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471292269",
"telephone_number": "502-536-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TIFFANY",
"middle_name": "DIANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "259524",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "0009920292",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007645A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "34007645A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1124442603",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LSW",
"identifier": "0009920292",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "259524",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.