Individual provider Active NPI

Tiffany Sharese Johnson, ACSW

  • Social Worker
  • Hesperia, CA
National Provider Identifier
1740826304
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
120197 Issued in CA
Practice address
11951 Hesperia Rd
Hesperia, CA 92345-1855
Phone
(760) 956-2345
Fax
(760) 956-3761
NPI assigned
Nov 19, 2019
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Social Worker 104100000X 120197 CA Primary
Community Health Worker 172V00000X NU

Addresses

Primary practice location

11951 Hesperia Rd
Hesperia, CA 92345-1855

Mailing address

18818 Outer Hwy 18
Apple Valley, CA 92307-2323
Phone (760) 995-8300

Other practice location 1

18818 Outer Hwy 18
Apple Valley, CA 92307-2323
Phone (760) 995-8300

Other practice location 2

222 E Main St Ste 117
Barstow, CA 92311-2365
Phone (760) 255-1496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120197CAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1740826304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18818 OUTER HWY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072323",
            "telephone_number": "760-995-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11951 HESPERIA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451855",
            "telephone_number": "760-956-2345",
            "fax_number": "760-956-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18818 Outer Hwy 18",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923072323",
            "country_code": "US",
            "telephone_number": "760-995-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 E Main St Ste 117",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923112365",
            "country_code": "US",
            "telephone_number": "760-255-1496",
            "fax_number": "760-255-2542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "middle_name": "SHARESE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "120197",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.